经腹直肠“凹”形补片悬吊与多点瘢痕挛缩术治疗Ⅱ、Ⅲ度直肠脱垂的临床对比观察

Transabdominal Rectal 凹-shaped Patch & Suspension and Multi-point Cicatricial Contraction Procedure in the Treatment of Ⅱ,Ⅲ Degree Rectal Prolapse: Clinically Comparative Observation

为了对比观察经腹直肠"凹"形补片悬吊术与多点瘢痕挛缩术治疗Ⅱ、Ⅲ度直肠脱垂的临床疗效,将甘肃省泾川县人民医院2012年10月至2017年10月收治的124例成人直肠脱垂患者随机分为观察组和对照组,每组62例。观察组采用经腹"凹"形补片悬吊术治疗,对照组采用多点瘢痕挛缩术治疗,对比观察2组患者的临床疗效、治疗时间、并发症发生情况及复发率。结果表明,观察组痊愈率(96.8%)高于对照组(80.6%),2组比较差异有统计学意义(P<0.05);观察组平均治疗时间(1.5周)短于对照组(2.5周),2组比较差异有统计学意义(P<0.05)。观察组并发症发生率及复发率(3.2%、0)低于对照组(6.5%、12.9%),2组比较差异有统计学意义(P<0.05)。结果显示,与多点瘢痕挛缩术相比,经腹直肠"凹"形补片悬吊术治疗Ⅱ、Ⅲ度直肠脱垂疗效更高、并发症更少、复发率更低,值得临床推广应用。

This study was to observe and compare the clinical effect of Ⅱ,Ⅲ degree rectal prolapse treated with 凹-shaped patch suture ＆ suspension and with multi-point cicatricial contraction procedure,randomly divided 124 patients with rectal prolapse who admitted in jingchuan county＇s people＇s hospital from Oct. 2012 to Oct. 2017 into observation group and control group, 62 cases for each, which the former was subject to transabdominal rectal [N-shaped patch suture ＆ suspension,meanwhile the latter,to multi-point cicatricial contraction procedure; then observed and compared both group＇s clinical effect treatment time, occurrence status of complications and the recurrence rate.As results,in curative rate the former was significantly higher than the latter（96.8% vs 80.6%）,there was statistical difference （ P〈0.05）;in average treatment time the former was shorter than the latter （1.5 weeks vs 2.5 weeks） ,there was statistical difference （ P〈0.05）;and in complication incidence,and recurrence rate the former was lower than the latter（3.2% vs 6.5%,0 vs 12.9%）,there was statistical difference （ P〈0.05）.Results show that compared with multipoint cicatrical contraction procedure transabdominal [N-shaped patch suture ＆ suspension in the treatment of Ⅱ,Ⅲ degree rectal prolapse has higher effect, less complication and lower recurrence rate,which is worthy of popularization and use in clinic.