两种手术方法治疗女性直肠前突远期疗效观察

The long-term effect observation of two surgical methods in the treatment of female rectocele

目的：探讨吻合器痔上黏膜切除钉合术（ TST）与硬化剂注射加柱状缝扎术治疗直肠前突（ RC）的远期疗效。方法：将58例中重度RC患者分为TST组（观察组）30例,硬化剂注射加柱状缝扎术组（对照组）28例。随访1-4年,观察2组手术时间、住院时间及远期临床疗效。结果：观察组住院时间和手术时间均明显少于对照组（P〈0.01）,远期疗效明显优于对照组（P〈0.05）,2组均未出现直肠阴道瘘及肛管狭窄等严重并发症。结论：TST治疗RC改善排便功能远期疗效确切,手术操作简单,有较好的临床推广价值。

Objective：To compare the long-term effects of the mucosal resection stapling and sclerosing agent injecting combined with mucosa columnar suturing in the treatment of rectocele. Methods：Fifty-eight patients with severe rectocele were divided into the observation group（30 cases treated with mucosal resection stapling） and control group（28 cases treated with sclerosing agent injecting combined with mucosa columnar suturing） . Two groups were followed up for 1 to 4 years,the operation time,hospital time and long-term clinical effects between two groups were compared. Results：The hospital time and operation time in observation group were significantly lower than that those in control group（P〈0. 01）,the long-term effects of the observation group was better than that of the control group （P〈0. 05）,the rectovaginal fistula and stenosis of anal canal were not found in two groups. Conclusions：The treatment of rectocele with mucosal resection stapling can improve the defecation function and long-term effects, which is simple operation, and worth popularization.