挂线治疗出口梗阻型便秘30例临床观察

为探讨挂线疗法治疗出口梗姐型便秘的疗效．将55例因耻骨直肠肌痉挛引起的出口梗阻型便秘的病人分为两组。采用挂线30例（治疗组），采用部分耻骨直肠肌切断术25例（对照组）。结果显示，治疗组30例均恢复排便顺应性，肛门指诊肛管直肠弹性良好，肛门自制功能正常，术后疼痛径，往院时间、创面愈合时间均短，无术后感染，复发率低．明显优于对照组（P〈0.01）。结果表明，挂线术治疗出口梗阻型便秘，具有术式简单、术后疼痛轻、住院时间短、复发率低等优点。

Clinical Observation on the Thread-drawing Therapy in the Treatment of Outlet Obstruction Constipation

The objective of this study was to explore therapeutic effect of thread-dawing therapy for outlet obstructive constipation. Fifty five patients with outlet obstruction constipation caused by spasm of puborectal muscle were divided into two groups.30 patients received thread-drawing therapy（the study group）, while 25 patients underwent partial incision of puborectal muscle（the control group）. As results,defecation compliance was restored in all the cases of the study group;in comparison with the control group,digital examination showed better elasticity of anorectal muscle.continence function of the anus was normal ,posloperatixe pain was lighter.hospital stay and wound healing time were shorter,there was no postoperative infeclion and recurrence rate was lower in the study group（ P 〈0.01）. It is concluded that thread-drawing therapy is simple in manipulation.and can ensure lighter postoperative pain,shorter hospital stay and lower recurrence rate in the treatment of outlet obstruction constipation.