耻骨直肠肌综合征(PCMS)强力挂线快速松解术

Pubo - coccygeal muscle syndrome (PCMS) treated with strong seton method

目的 寻求一种治疗耻骨直肠肌综合征（PCMS）引起的出口梗阻性便秘的简单安全中西医结合外科手术方法。方法 随机将PCMS便秘患者56例分成治疗组43例,采用后方强力挂线快速松解术;对照组13例,采用经典的后方单侧切断术。结果 两组分别对比观察术前、术后、2年后追访,三阶段的排粪造影等多项临床指标及排便情况,经X2检验,P<0.05及P<0.01,有显著性差异,无一例发生不全失禁或肛管畸形等后遗症。结论 本术式避免了常规经典手术易于出血、水肿、感染、坏死,最后使耻骨直肠肌严重疤痕化所致的便秘复发。

Objective To seek a simple rapid and secure combined Chinese- Western surgical method to relieve constipation caused by hypertrophy of PCMS. Methods Fifty - six patients suffering from obstinate constipation were divided into two groups. Thirteen cases were treated with clossical rear single side amputation of PCMS. Forty -three cases were treated with rear strong seton method. Results Patients in both groups were followed for two years, 3 - phases of defecation observed by using barium contrast were performed before treatment/immediately after the operation/2 years after the operation. Clinical observation on the course of defecation was also used to evaluate the ment of the seton method. There was marked difference between the two groups ( P <0.05; P <0.01). No case of incontinence or stricture of and canal was found. Conclusions The strong seton method relieved constipation. No complication of classical rear single side amputation of PCMS was found.