Delorme术和Altemeier术治疗直肠脱垂的效果

Curative Effect Analysis of Delorme and Altemeier Surgery on Rectal Prolapse

目的对比分析Delorme术和Altemeier术治疗直肠脱垂的效果。方法将2020年3月1日—2024年5月28日本院收治的直肠脱垂患者30例作为案例,根据直肠脱垂的长度将其分成对照组(16例)和观察组(14例)。观察组使用直肠黏膜切除肌层折叠术(Delorme术),对照组使用经会阴直肠乙状结肠切除术(Altemeier术),对比分析两组的疗效和价值。结果术前,两组Longo便秘评分比较,无显著差异(P>0.05);术后,观察组Longo便秘评分较对照组低,(P<0.05)。术前,两组Wexner失禁评分结果相似,无显著差异(P>0.05);术后,观察组Wexner失禁评分低于对照组(P<0.05)。术前,两组生活质量评分比较,无显著差异(P>0.05);术后,观察组评分高于对照组(P<0.05)。观察组患者手术时间、住院时间均短于对照组,差异具有统计学意义(P<0.05),但是两组在出血量方面无显著差异(P>0.05)。结论两种手术方法在直肠脱垂治疗中有着相似的安全性和有效性,但是Delorme术式具有手术时间短、术后恢复快等优势。

Objective To analyze curative effect of Delorme and Altemeier surgery for rectal prolapse.Methods The paper chose 30 patients with rectal prolapse in our hospital from March 1,2020 to May 28,2024 for case study,and divided them into two groups.Observation group and control group were treated with Delorme surgery(rectal mucosal resection and muscle folding surgery)and Altemeier surgery(transperineal rectovaginal sigmoidectomy)respectively.Curative effect and value of treatments was described.Results There was no significant difference in preoperative Longo constipation scores between two groups(P>0.05),while observation group had relatively lower scores after surgery,indicating significant difference(P<0.05).Preoperative Wexner incontinence scores were similar,with no difference(P>0.05).After surgery,observation group had lower scores than control group,with significant difference,(P<0.05).There was no significant difference in preoperative life quality scores between two groups,(P>0.05).Aftrer surgery,observation group had higher scores than control group,indicating significant difference(P<0.05).Observation group had shorter time for various indicators than control group,with difference(P<0.05),there was no difference in bleeding volume(P>0.05).Conclusion The two surgical methods have similar safety and effect for rectal prolapse,but Delorme surgery has advantages of shorter surgical time and faster post operative recovery.