期刊文献+

改良术式治疗耻骨直肠肌综合征的疗效 被引量:3

An improved surgical procedure for treatment of puborectalis syndrome
下载PDF
导出
摘要 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.
出处 《世界华人消化杂志》 CAS 2015年第2期343-347,共5页 World Chinese Journal of Digestology
关键词 耻骨直肠肌 改良术式 耻骨直肠肌部分切除术 Puborectalis Improved surgery Partial division of puborectalis
  • 相关文献

参考文献6

二级参考文献73

  • 1杨新庆,丁步国,岳卫红.盆底痉挛综合征[J].结直肠肛门外科,1995,11(2):30-32. 被引量:7
  • 2喻德洪,孟荣贵,王平治,柯三保,王李华.结肠慢运输型便秘的诊断及治疗(附8例报告)[J].中国实用外科杂志,1993,13(12):725-726. 被引量:26
  • 3刘世信,张殿文.结肠运输试验对诊断便秘的价值[J].中华医学杂志,1993,73(2):75-77. 被引量:31
  • 4喻德洪,许华玉.球囊逼出试验的临床应用[J].中国肛肠病杂志,1995,15(1):9-10. 被引量:4
  • 5李实忠.盆底失弛缓综合症[J].中国肛肠病杂志,1995,15(1):17-20. 被引量:25
  • 6[28]Glia A,Gylin M,Gullberg K,Lindberg G.Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction:comparison of anal manometry and sphincter electromyography for feedback.Dis Colon Rectum 1997; 40:889-895
  • 7[29]Bleijenberg G,Kuijpers HC.Biofeedback treatment of constipation:a comparison of two methods.Am J Gastroenterol 1994;89:1021-1026
  • 8[30]Norton C,Chelvanayagam S,Wilson-Barnett J,Redfern S,Kamm MA.Randomized controlled trial of biofeedback for fecal incontinence.Gastroenterology 2003; 125:1320-1329
  • 9[31]Brandt LJ,Prather CM,Quigley EM,Schiller LR,Schoenfeld P,Talley NJ.Systematic review on the management of chronic constipation in North America.Am J Gastroenterol 2005; 100Suppl 1:S5-S21
  • 10[32]Chiarioni G,Whitehead WE,Pezza V,Morelli A,Bassotti G.Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia.Gastroenterology 2006;130:657-664

共引文献101

同被引文献22

引证文献3

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部