摘要
目的比较结肠次全切除联合直肠前壁悬吊术和结肠次全切除联合经阴道修补术治疗合并直肠前突的顽固性慢传输型便秘的疗效。方法回顾性分析2002年1月至2009年1月间收治的32例合并直肠前突的顽固性慢传输型便秘患者临床资料,比较结肠次全切除联合直肠前壁悬吊术(A组)和结肠次全切除术联合经阴道修补术后(B组)的排便功能。结果两组患者术前一般资料差异无统计学意义。术中两组的手术时间和出血量差异无统计学意义。术后早期并发症、便秘症状改善程度、Wexner肛门功能评分差异无统计学意义。随访1年后A组的胃肠生活质量指标评分、便秘症状改善度和便秘复发率均好于B组(P<0.05)。结论与结肠次全切除术联合经阴道修补术相比,结肠次全切除术联合直肠前壁悬吊术是治疗合并直肠前突的顽固性慢传输型便秘的更有效的手术方法 。
Objective To compare the efficacy of subtotal colectomy with anteriorrectal suspension and subtotal colectomy with transvaginal repair for patients with slow transit constipation combined with rectocele. Methods This retrospective study examined the data of patients with slow transit constipation combined with rectocele who underwent operations from January 2002 to January 2009. Patients were divided into 2 groups： those underwent subtotal colectomy with anterior rectal suspension （group A,n=13）; and those underwent subtotal colectomy with transvaginal repair （group B; n=19）. Results The difference of general information on two groups of patients before operations was not statistically significant Furthermore,the difference was not statistically significant between two groups about the amount of operation time ,the volume of bleeding in operation, early postoperative complications, the degree of improvement of constipation symptoms, Wexner anal function score. However, after one year offollowup, the difference was statistically significant （P0.05） between two groups about gastrointestinal life quality index score, the degree of improvement of constipation symptoms, constipation relapse rates. Conclusions Compared with subtotal colectomy with transvaginal repair, subtotal colectomy with anterior rectal suspension was a more effective surgical method for patients with slow transit constipation combined with rectocele.
出处
《中华普通外科学文献（电子版）》
2010年第3期34-37,共4页
Chinese Archives of General Surgery(Electronic Edition)
