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STARR术序贯盆底生物反馈治疗盆底松弛型便秘的临床研究
引用本文:殷毅,吴桂喜,王伟杰,张双民.STARR术序贯盆底生物反馈治疗盆底松弛型便秘的临床研究[J].河北医学,2017,23(11).
作者姓名:殷毅  吴桂喜  王伟杰  张双民
作者单位:1. 北京市隆福医院肛肠外科,北京,100010;2. 中国医学科学院北京协和医院基本外科,北京,100730
基金项目:北京市东城区优秀人才培养资助项目
摘    要:目的:观察STARR术序贯盆底生物反馈治疗盆底松弛型便秘的疗效.方法:将90例盆底松弛型便秘患者随机分为实验组与对照组,实验组采用STARR术序贯盆底生物反馈治疗,对照组采用STARR术治疗;两组患者均于术前、术后6月行ODS评分、直肠测压及盆底肌电图检查.结果:实验组术后6月ODS评分、直肠测压及盆底肌电图检查结果均优于对照组(P<0.05).结论:STARR术序贯盆底生物反馈治疗,可明显提高盆底松弛型便秘患者的满意率,改善盆底功能.

关 键 词:STARR术  生物反馈  盆底松弛型便秘  ODS评分  直肠测压

Clinical Study of STARR Sequential Combined with Biofeedback in the Treatment of Pelvic Floor Relaxation Constipation
Abstract:Objective:To observe the clinical efficacy of STARR sequential combined with biofeedback in the treatment of pelvic floor relaxation constipation. Methods:90 cases of pelvic floor relaxation constipa-tion were randomly divided into the treatment group and the control group. The treatment group was treated by STARR sequential combined with biofeedback, while the control group was justly treated by STARR. Patients ' ODS score and result of rectal pressure test were recorded before surgery and 6 months after surgery. Results:Patients' ODS score and results of rectal pressure test and pelvic floor electromyography in the treatment group were better than those in the control group 6 months after surgery( P<0.05) . Conclusion: STARR sequential combined with biofeedback can significantly improve the satisfaction rate and improve pelvic floor function of pelvic floor relaxation constipation.
Keywords:STARR  Biofeedback  Pelvic floor relaxation constipation  ODS score  Rectal pressure test
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