PPH联合RPH治疗重度直肠黏膜内脱垂35例疗效分析

PPH Combined with RPH in the Treatment of Severe Internal Rectal Mucosa Prolapse:Effect Analysis on 35 Cases

为探讨PPH联合RPH治疗重度直肠黏膜内脱垂的疗效,将本院收治的重度直肠黏膜内脱垂者70例,随机分为观察组和对照组,各35例。观察组行PPH联合RPH治疗,对照组行PPH治疗。比较2组临床疗效,手术时间,术中失血量等指标。结果显示,观察组临床总有效率高于对照组(P<0.05);2组在手术时间、手术失血量、术后疼痛、发热、切口愈合时间和住院时间方面比较,差异无统计学意义(P>0.05)。但观察组12个月后复发率低于对照组(P<0.05)。结果表明,重度直肠黏膜内脱垂患者采用PPH联合RPH治疗,具有出血量低、术后康复快、复发率低等诸多优势,值得临床推广应用。

This study was to investigate the effect of PPH combined with RPH in the treatment of severe internal rectal mucosa prolapse(IRMP),enrolled 70 cases treated in author’s hospital and randomly divided them into observation group(35 cases,PPH plus RPH)and control group(35 cases,only PPH);then,compared both groups’effect,operating time,and intraperative bleeding volume,etc.As results,in total effect rate observation group was higher than control group(P<0.05);in operating time,intraoperative bleeding volume,postoperative pain and fever,and in the time for incision healing,and for hospitalization there was no statistical difference between the two groups(P>0.05);also,in recurrence rate 12 months later observation group was lower than control group(P<0.05).Results show that for severe IRMP PPH plus RPH has many advantages as lower bleeding volume,faster postoperative rehabilitation,and lower recurrence rate,etc.It is worthy of clinical popularization and application.