直肠前突65例手术治疗分析

Analysis on Surgical Treatment of Rectocele in 65 Cases

为总结手术治疗直肠前突的疗效，回顾分析手术治疗的65例直肠前突患者资料，其中中度直肠前突行PPH，重度直肠前突行阴道后壁修补联合PPH。结果显示，本组65例患者均顺利完成手术。痊愈55例，显效6例，有效4例，无效0例，总有效率为100％。手术时间30～55min，平均41min；术中出血1～50m1，平均28ml；住院时间5～9d，平均7d。术后下腹不适及胀痛8例，2～3d自行缓解；尿潴留10例，予导尿处理；肛门会阴部疼痛15例，使用止痛药物后缓解；肛门渗血2例，予局部填塞止血材料后停止。术后均未发生肛门狭窄、失禁及直肠阴道瘘等严重后遗症。术后随访6～36个月，均无复发。结果表明，不同程度直肠前突选择不同术式治疗效果肯定。

In order to summarize the effect of surgical treatment of rectocele,authors retrospectively analyzed the data of 65 cases who with mid degree of rectocele received PPH,while who with severe rectocele received PPH combined with repairing posterior wall of vagina. As results,all of 65 cases were smoothly completed in surgical treatment, 55 cases were cured, 6 of excellent response, 4 of response, no non-response cases,and total effective rate was 100% ;the time for operation was 30-55 rain（averaged 41 min） ,intraoperative bleeding volume was 1-50 ml（averaged 28 ml）,hospitalization time was 5-9 days（averaged 7 d） after operation 8 cases suffered from inferior belly swelling pain and not comfortable, 2-3 days from then symptoms automatically relieved 10 from uroschesis,received catheterization; 15 from pain of anoperineum then relieved through orally administering stopping-pain drugs 2 had staxis from anus then stopped by using locally packing stopping-bleeding materials after operation no anal stenosis,incontinence, and rectovagina fistula,etc severe sequels were found;the follow-up of 6-36 months did not find any recurrence.Results show that to Choose different procedures for different degree of rectocele can obtain determined effect.