手术治疗直肠前突合并直肠黏膜内脱垂出口梗阻型便秘的临床观察

Clinical observation of prolapse and hemorrhoids plus anterior rectal wall repair in the treatment ofoutlet obstructive constipation caused by rectocele with internal prolapse

对162例直肠前突合并直肠黏膜内脱垂出口梗阻型便秘患者，行痔上黏膜环切吻合术（PPH）联合直肠前壁修补术治疗。术后2周治愈率100％；术后17—41个月随访114例，复查排粪造影110例未发现直肠前突及直肠黏膜内脱垂征象，4例复发。提示PPH治疗直肠前突合并直肠黏膜内脱垂出口梗阻型便秘具有较好的临床效果。

To explore the clinical efficacies of surgical procedures for prolapse and hemorrhoids （PPH） plus anterior rectal wall repair in the treatment of outlet obstructive constipation caused by rectocele with internal prolapse. Postoperative complications and treatment effects of 162 cases with outlet obstructive constipation caused by rectocele with internal prolapse undergoing PPH plus anterior rectal wall repair were observed. The cure rate was 100% at week 2 post-operation. No rectocele or rectal mucosa prolapse signs were found within 41 months after defecography in 110 cases. The follow-up period was 17 -41 months for 114 cases. Four cases recurred with mild clinical symptoms. The combined approach has high efficacies and low recurrence rates in the treatment of outlet obstructive constipation caused by rectocele accompanied with internal prolapse.