阴道后壁补片修补联合肛门外括约肌切断术治疗直肠前突性功能性便秘

Posterior Vaginal Wall Patch Repair Joint External Anal Sphincter Section in the Treatment of Functional Constipation due to Rectocele

为探讨经会阴阴道后壁无张力补片修补术联合肛门外括约肌切断术治疗直肠前突性功能性便秘的疗效，对直肠前突性功能性便秘125例采用经会阴小切口，钝性分离直肠阴道隔，无张力补片修补术联合肛门外括约肌切断术治疗。结果显示，手术时间20～30min，平均26min。术中出血10～30ml，平均20ml。术后轻度疼痛。肛门坠胀感2例，无排便不尽感、大便失禁、创口感染，无排异反应。住院6～10d，平均8d。术后随访时间1个月至5年。治愈120例，好转5例。结果表明，经会阴阴道后壁无张力补片修补术联合肛门外括约肌切断术治疗直肠前突性功能性便秘效果可靠，手术安全。

This study was to observe the clinical efficacy of posterior vaginal wall patch repair joint external anal sphincter section in treating functional constipation due to rectocele, 125 cases underwent posterior vaginal wall repair,perineal mini-incision, blunt dissection of the rectovaginal septum, tension-free patch repair joint external anal sphincter section.The results showed that the operation time was 20-30 min,with an average of 26 min;the volume of intraoperative bleeding was 10-30 ml,with an average of 20 ml.Mild pain occurred after surgery.Two cases developed anal tenesmus sensation. No frequent desire to defecate, fecal incontinence, wound infection, rejection reaction occurred.The hospital stay was 6-10 d,averaged 8 d.All cases were followed up for 1 month to 5 years,120 cases got cured,5 improved.It is concluded that posterior vaginal wall patch repair joint external anal sphincter section is effective reliable and safe for functional constipation due to rectocele.