吻合器痔上黏膜环切术结合直肠粘膜及括约肌折叠术治疗轻度直肠脱垂

Curative effects between PPH & plication operation of rectal mucosa and sphincter and traditional surgery in treatment of mild rectal prolapse

目的观察吻合器痔上黏膜环切术结合直肠粘膜及括约肌折叠术治疗轻度直肠脱垂的临床疗效。方法将60例直肠脱垂患者随机分为治疗和对照组各30例。治疗组采用吻合器痔上黏膜环切术结合直肠粘膜及括约肌折叠术,对照组采用传统手术。对2组疗效、复发率及并发症等进行对照观察。结果治疗组在总有效率、手术时间、术后疼痛、伤口愈合时间、术中出血量、住院时间、术后尿潴留、感染、复发等方面比较优于对照组,术后肛门形态恢复良好,差异有统计学意义(P<0.05)。结论吻合器痔上黏膜环切术结合直肠粘膜及括约肌折叠术治疗轻度直肠脱垂是一种有效的手术方式,值得推广和应用。

Objective To observe the clinical efficacy of PPH ＆ plication operation of rectal mucosa and sphincter in the treatment of mild rectal prolapse. Methods A total of 60 rectal prolapse patients were randomly divided into the treatment group （30 patients） and the control group （30 patients）. The treatment group was treated with PPH ＆ plication operation of rectal mucosa and sphincter while the control group was treated with traditional surgery. Curative effects, recurrence rate and complication were investigated in these two groups. Results There was significant difference in average curative effects, operation duration, postoperation pain, wound healing time, blood loss during operation, hospital stays, uroschesis, infection, recurrence rate between the treatment group and the control group （P〈0.05）. Anal function had a good recovery after operation. Conclusion PPH ＆ plication operation of rectal mucosa and sphincter is effective in treatment of mild rectal prolapse, which is worthy of clinic applications.