PPH治疗直肠前突所致出口梗阻型便秘的临床研究

目的观察PPH治疗直肠前突所致出口梗阻型便秘的临床疗效。方法将30例直肠前突所致出口梗阻型便秘随机分为治疗组15例,采用PPH术;对照组15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80%和73%,无明显差异（P〉0.05）,但两组间的术后疼痛程度、创口愈合天数存在显著差异（P〈0.01）。结论在治疗直肠前突所致出口梗阻型便秘时,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,但治疗直肠前突其远期疗效尚有待进一步观察。

Clinical study of the procedure for prolapse and hemorrhoids in the treatment of outlet obstructive constipation caused by rectocele

Objective To evaluate the efficacy of the procedure for prolapse and hemorrhoids （PPH） in the outlet obstructive constipation （OOC） caused by rectocele. Methods Thirty cases with outlet obstructive constipation caused by rectocele were divided randomly in two groups. Fifteen cases in the treatment group were treated by PPH and 15 cases in the compared group by Sehapayah method.Results The cure rate was 80% in PPH group and 73% in Sehapayah group,and there was no significant difference between the two groups（P〉0.05）. There was significant difference in postoperative pain and healing time between the two groups （P〈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 outlet obstructive constipation caused by rectocele.