经阴道后壁直肠和阴道双重修补法治疗单纯直肠前突67例分析

目的：观察经阴道后壁直肠和阴道双重修补法治疗单纯直肠前突的效果。方法：67例单纯直肠前突患者。采用经阴道后壁切开。直肠前壁行柱状缝扎，阴道后壁修补的方法。结果：67例单纯直肠前突患者，术后64例(95．5％)便秘症状得以完全缓解，其中1例仍有轻度腹胀，但较术前明显减轻，随访6～24个月，无症状复发；2例(3．O％)仍感排便困难。但术前需依赖手法排便，术后可自排便；1例(1．5％)无明显效果。无切口感染、直肠瘘发生。所有病例术后复查排粪造影均显示直肠前突明显改善或消失。结论：经阴道壁直肠和阴道双重修补法治疗单纯直肠前突操作简单、疗效确切。

Study of Double repair of simple rectocele trans-rectum and posterior wall of vagina with an analysis of 67 case Reports

Objective:To evaluate the effect of double repair of simple rectocele trans rectum and posterior wall of vagina.Methods:67 cases with simple rectocele were treated by incision of posterior wall of vagina,suture of anterior wall of rectum in column and repair of posterior wall of vagina.Results:The constipation were completely alleviated in 64(95.5%)cases.1 case still had mild abdominal distension among them,but was more alleviated than before operation.The 6 to 24 months follow up shew no reoccurrence.Difficult defecation occurred in 2(3.0%)cases but could defecate spontaneously after operation while they needed help of hands to do so before operation.1(1.5%)case showed no obvious effect.No one had incision infection or rectal fistula.The defecatogrophy of all cases after operation shew that rectocele had obviously improved or disappeared. Conclusion:The double repair of simple rectocele trans rectum and posterior wall of vagina is easy in operation and effective.