摘要
目的:探讨直肠黏膜柱状缝扎加耻直肌挂线术治疗直肠黏膜内脱垂型便秘的治疗效果和应用价值。方法:选择直肠黏膜内脱垂型便秘患者36例,分为2组,以直肠黏膜柱状缝扎加耻直肌挂线术为治疗组,直肠黏膜点状结扎法为对照组,各18例。观察治疗前后主要症状、体征和辅助检查结果的变化情况并评定治疗效果。结果:治疗组术后及随访都有显效,术后积分与对照组有显著性差异(P<0.01),3个月后随访积分治疗组与对照组有差异(P<0.05)。结论:该疗法临床疗效良好,相比传统术式具有疗效好的优点,在严格掌握手术适应症的前提下,可作为直肠黏膜内脱垂所致出口梗阻型便秘较优的手术治疗方案。
Objective： To discuss the efficacy and application prospect of columnar suturing plus shame rectum seton for constipation induced by internal rectal mucosa prolapsed. Methods： Thirty six patients were randomized to receive present operation, or punctate ligation as control, put under symptoms and physical signs observation, and other auxiliary examinations before and after treatment. Results： The treatment group had significantly better therapeutic effect than the control group right after the operation and in 3-month follow-up （P 〈 0. 01, P 〈 0. 05 respectively）. Conclusion： The present operation has better efficacy than the traditional operation, thus is preferable for outlet obstructive constipation induced by internal rectal prolapsed.
出处
《世界中医药》
CAS
2010年第1期28-30,共3页
World Chinese Medicine
基金
2009年泉州市第一批科技重点项目
项目编号(2009Z43)
关键词
直肠黏膜内脱垂
柱状缝扎
挂线
临床研究
Internal rectal mucosa prolapsed
Columnar suturing
Seton
Clinical observation
