消痔灵注射加缝扎和缩窄术治疗Ⅲ度直肠脱垂的疗效观察

Efficacy Observation of Ⅲ Rectal Prolapse Treated with Xiaozhiling Injection,Circumsuture and Narrowing Surgery

目的探讨消痔灵注射加缝扎和缩窄术治疗Ⅲ度直肠脱垂的临床疗效与安全性,为进一步规范其适用范围、操作方法与防治并发症的临床研究提供资料。方法对216例Ⅲ度直肠脱垂患者采用直肠黏膜下注射、直肠周围注射、直肠黏膜缝扎术、肛管缩窄术四步治疗方法,并进行临床观察、随访、分析和评估。结果 216例Ⅲ度直肠脱垂患者,治愈205例,好转11例,治愈率为95%。疗程7～16 d,平均12 d。通过1年各种形式的疗效观察和随访,均无肛门直肠狭窄、排便障碍、结肠功能紊乱、性功能减退等后遗症。结论消痔灵注射加缝扎和缩窄术治疗Ⅲ度直肠脱垂疗效好、方法简便、安全、易于推广。

Objective To discuss the clinical efficacy and safety onⅢ rectal prolapse treated with xiaozhiling injection, eircumsuture and narrowing surgery so as to provide the data for the clinical research on the normalization of indication scope, operation methods, prevention and treatment of complications. Methods Two hundred and sixteen cases of Ⅲ rectal prolapse were treated with four - step therapeutic program,inclu- ding injection beneath mucous membrane, injection around the rectum, percutaneous continuous circumsuture and anal narrowing surgery. The clinical observation, follow - up visit, analysis and evaluation were conduc- ted. Results Of 216 cases of m rectal prolapse,205 cases were cured and 11 cases were improved. The cur- ative rate was 95%. The duration of treatment was 7 - 16 days, averagely 12 days. After the various observa- tions of therapeutic effects and follow - up visit for 1 year, there were not sequela such as anorectal stenosis, defecation disturbance, colonic disorder and sexual dysfunction. Conclusion Xiaozhiling injection, circumsu- ture and anal narrowing surgery achieve the good efficacy on Ⅲ rectal prolapse. This therapeutic method is simple and safe and deserves to be promoted.