直肠黏膜柱状结扎注射术加肛门紧缩术治疗直肠脱垂的疗效观察

Clinical effect of rectal mucosa columnar ligation injection combined with anal tightening operation in the treatment of rectal prolapse

目的:观察直肠黏膜柱状结扎注射术加肛门紧缩术治疗直肠脱垂的疗效。方法:对30例直肠脱垂患者应用直肠黏膜柱状结扎注射术加肛门紧缩术治疗,观察治疗效果。结果:30例中痊愈29例,好转1例,治愈率为96.67%。患者手术前后白细胞、红细胞、血红蛋白和血小板计数差异均无统计学意义(P>0.05),而中性粒细胞术后第1天水平均明显高于术前和术后第5天(P<0.01),术后第5天与术前中性粒细胞水平差异无统计学意义(P>0.05)。结论:直肠黏膜柱状结扎注射术加肛门紧缩术治疗直肠脱垂的疗效显著,值得临床推广。

Objective：To investigate the clinical efficacy of rectal mucosa columnar ligation injection combined with anal tightening operation in the treatment of rectal prolapse. Methods：Thirty patients with rectal prolapse were treated with rectal mucosa columnar ligation injection combined with anal tightening operation,the curative effects were observed. Results：Among 30 patients with rectal prolapse,29 cases cured,and 1 case improved,the cure rate of which was 96. 67%（29 /30）. The differences of the levels of WBC,RBC,Hb and PLT in all csase before and after operation were not statistically significant（ P〉0. 05）. The neutrophils level at 1 day after operation was significantly higher than that in before operation and postoperative 5 days（P〈0. 01）,the difference of neutrophils level between before operation and postoperative 5 days was not statistically significant（P〉0. 05）. Conclusions：The clinical curative effects of rectal mucosa columnar ligation injection combined with anal tightening operation on treating rectal prolapse is good,which is worthy of clinical application.