改良术式治疗耻骨直肠肌综合征的疗效

An improved surgical procedure for treatment of puborectalis syndrome

目的:评价改良术式治疗耻骨直肠肌综合征(puborectalis syndrome,PRS)的临床效果.方法:将54例PRS患者随机分为对照组和观察组,对照组27例采用耻骨直肠肌部分切除术,观察组27例采用改良术式(耻骨直肠肌部分切除、直肠浆膜层嵌合术加肛门内括约肌侧方切除术),对两组患者术后相关指标进行观察,并进行统计学分析.结果:所有54例均随访1.5年.术后1.5年,观察组总有效率为92.6%,明显优于对照组59.3%,差异有统计学意义(P<0.05);观察组复发率为3.8%,明显低于对照组36%,差异有统计学意义(P<0.05).结论:改良术式远期效果可靠,复发率低,安全性高.

AIM： To evaluate the efficacy of an improved surgical procedure for treatment of puborectalis syndrome. METHODS： This prospective randomized study included 54 patients suffering from puborectalis syndrome. They were randomized into two groups： a control group which included27 patients who underwent partial division of puborectalis and anob servation group which included 27 patients who received an improved surgical procedure（partial division of puborectalis plus rectal serosal gomphosis and lateral internal sphincterotomy）. The total effective rate and recurrence rate were compared for the two groups. RESULTS： After one year and a half, the total effective rate in the observation group was 92.6%,significantly higher than that in the control group（59.3%, P 〈0.05）. The recurrence rate in theobservation group was 3.8%, significantly lower than that in control group（36%, P〈 0.05）. CONCLUSION： The improved surgery has low recurrence rate and high safety.