直肠黏膜环切术治疗直肠前突30例疗效观察

目的观察直肠黏膜环切术(PPH)治疗直肠前突的临床疗效。方法将60例直肠前突患者随机分为治疗组30例,采用PPH术;对照组30例,采用经直肠切开修补术(Sehapayah法)。观察两组患者治愈率及术后并发症。结果治疗组与对照组治愈率分别为70.0%和43.3%,差异有统计学意义(P0.05)。术后排空困难、会阴膨出感的发生率治疗组低于对照组(P0.05或0.01)。结论治疗直肠前突PPH术与传统经直肠切开前突修补术相比,具有手术操作简单、术后并发症少、恢复时间短、安全性高等优点。

Clinical study of the procedure for prolapse and hemorrhoids in the treatment of 30 patients with rectocele

Objective To evaluate the efficacy of the procedure for prolapse and hemorrhoids(PPH) in the treatment of rectocele.Methods Sixty patients with rectocele were divided randomly into two groups.Thirty patients in the treatment group were treated by PPH and thirty patients in the control group by Sehapayah method.Results The cure rate was 70.0%in PPH group and,that was 43.3%in Sehapayah group.There was significant difference between the two groups(P <0.05).The incidence of difficult emptying and perineal expanding sense in the treatment group were lower than those in the control group(P < 0.05 or < 0.01).Conclusion Compared with conventional Sehapayah method for rectocele,PPH is a simple,safe method with fewer complications and shorter healing time in the treatment of rectocele.