三种不同手术治疗方式对直肠前突的疗效观察

The effect of three different surgical methods in the treatment of rectocele

目的比较三种不同手术治疗方式对直肠前突的治疗效果。方法 72例女性直肠前突患者分为A、B、C组各24例。A组采用经肛吻合器直肠黏膜环形切除术,B组采用经直肠闭式修补术,C组采用经阴道修补术,比较3组患者治疗显效率、手术时间、术中出血量、住院时间、伤口愈合时间、恢复工作时间等。结果 A、B、C 3组显效率分别为91.66%、79.16%、87.50%,A组显著高于B组(P<0.05),与C组差异无统计学意义(P>0.05);A组手术时间、术中出血量、伤口愈合时间、住院时间、恢复工作时间等均显著优于其他两组(均P<0.05)。结论经直肠闭式修补术、经阴道修补术均可有效治疗直肠前突,以经肛吻合器直肠黏膜环形切除术疗效更为显著。

Objective To evaluate the clinical effect of three different surgical methods in the treatment of rectocele. Method 72 cases of female rectocele were divided into three groups, namely, group A, group B and group C, each consisting of 24 subjects.Group A were treated with stapled transanal rectal mucosa annular resection.Group B with transrectal closed repair surgery and group C with transvaginal repair.The operative time, the amount of bleeding, the hospitalization time, the wound healing time, the recovery time, and the rate of effective treatment as used by the three groups were compared.Findings The efficiency rate of group A, group B, and group C were 91.66%, 79.16%, 87. 50% respectively.The rate of the group A was significantly higher than that of group B（P 〈 0.05）.However, the difference between group A and group C in the efficiency rate was not statistically significant （P 〉0.05）.The operative time, the amount of bleeding, the wound healing time, the hospitalization time, and the recovery time of group A were significantly better than those of the other two groups （P 〈0.05）.Conclusion Both transrectal closed repair and vaginal repair surgery can effectively repair rectocele.However, stapled transanal rectal mucosa annular resection was found to be the most effective method.