65例便秘腹腔手术发现其与盆底脱垂关系分析

报告６５例经腹手术治疗便秘的患者，其中出口梗阻型（ＯＯＣ）５０例，结肠慢通过型（ＳＴＣ）１５例。女性为男性之６倍。ＣＣＯ排粪造影发现：ＩＲＰ５０；ＲＣ１３；肠疝３；ＤＰＳ２４。ＳＴＣ排粪造影发现：ＩＲＰ１２；ＤＰＳ１０；巨乙状结肠１。术中ＯＯＣ发现：ＩＲＰ（直肠松驰与可套迭）５０：３３例前子宫者均脱垂及后倒；盆底下降５０例；盆底疝１３。ＳＴＣ手术发现；ＩＲＰ１２；１２例有子宫者均脱垂及后倒；盆底下

ANALYSIS OF RELATIONSHIP BETWEEN PELVIC FLOOR PROLAPSE AND CONSTIPATION IN 65 PATIENTS

of the 65 patients with constipation receiving abdominal operation, 50 patients sufferedfrom outlet obstructive constipation (OOC) and 15 patients from colonic slow transit constipation(STC). Defecographies indecate, all of the 50 cases with OOC had internal rectal prolapse(IRP), and 13 patients rectocde (RC), 3 patients enterocele, 24 patients descending perineumsyndrome (DPS). During abdominal operation, the follow changes of 50 OOC were found: uterusprolapse (UP) in 33 patients, descending pelvic floor and IRP in 50 patients, pelvic floor herniain 13 patients. A mong the 15 patients with colonic STC, 12 patients had IRP, 14 patientsDPS. And during abdominal operations, 12 patients were found to have IRP, 12 patients UP and14 patients descending pelvic floor. 1 male patient with megasigmoid had no pelvic change of 20patients receiveding defecograghies and pelvicography, pelvic floor hernia 14 were found tohave.It was believed that defecography and pelvicography were a helpful technique in the diagnosis ofPFP. These results showed that OOC and STC were always accompanied by PFP, and PFP maybe accompanied by IRP, UP, RC or pelvic floor hernia. Patieats with constipation could be treatedby functional rectopexy, forward uteropexy, proper raise of the level of pelvic floor, resection ofdysfanctional colon and so on. These techniques must be performed stimultaneously. It must beemphasized that patients should enhance exercise of levator and not strain during defecation