经直肠耻骨直肌部分切断纵切横缝术治疗耻骨直肠肌综合征的临床疗效观察

Clinical observation of transrectal pubic rectus portion cut and longitudinal contraction joints in patients with puborectal muscle syndrome

目的探讨经直肠采用耻骨直肌部分切断、纵切横缝的方法治疗耻骨直肠肌综合征(PMS)的临床效果。方法 68例PMS患者随机分为观察组(n=34)与对照组(n=34),观察组给予经直肠耻骨直肌部分切断、纵切横缝术治疗,对照组仅给予经肛门耻骨直肌部分切断术治疗,对比两组临床效果。结果两组患者总有效率比较无统计学差异(均P>0.05);观察组切口愈合时间及总住院时间均显著短于对照组(P<0.01);观察组术后疼痛程度显著低于对照组(P<0.01);观察组术后局部感染发生率显著低于对照组(P<0.05)。结论经直肠耻骨直肌部分切断、纵切横缝术能够有效缓解PMS患者便秘症状,创伤小,术后愈合快,患者痛苦小,术后并发症少,值得临床推广应用。

Objective To discuss the clinical effects of transrectal pubic rectus portion cut and longitudinal contraction joints in patients with PMS.Methods 68 patients with PMS were randomly divided into the observation group（n=34）and the control group（n=34）.The observation group was treated with transrectal pubic rectus portion cut and longitudinal contraction joints.The control group was treated with pubic rectus partial amputation through anus.The clinical effects were contrasted between the two groups.Results There was no significantly difference in the total efficacy between the two groups（P〉0.05）;Wound healing time and total hospitalization time in the observation group were significantly shorter than the control group（P〈0.01）;Postoperative pain in the observation group was significantly less than the control group（P〈0.01）;The incidence of postoperative local infection in the observation group was significantly lower than the control group（P〈0.05）.Conclusion Transrectal pubic rectus portion cut and longitudinal contraction joints can effectively relieve constipation status in patients with PMS,with smaller trauma,faster healing after surgery,less pain,and fewer complications,it＇s worthy of promotion.