摘要
为比较3种手术方法治疗直肠前突的疗效，探讨治疗直肠前突最佳手术方式，对118例直肠前突患者分别采用改良Block术（62例）、不对称直肠下段部分切除术（33例）和经肛门腔镜下直线切割缝合器切闭缝合术（23例）治疗，观察其疗效、手术时间、术中出血量、术后疼痛程度、并发症、复发率。结果显示，经肛门腔镜下直线切割缝合器切闭缝合术组治愈率最高；不对称直肠下段部分切除术组术中出血量最少；改良Block术组住院费用最低。结果表明，经肛门腔镜下直线切割缝合器切闭缝合术治疗直肠前突较其他两种方法具有操作简单、恢复快、并发症少、不易复发等优点。
This study was to compare the clinical effieacies of three surgical procedures in the treatment of rectocele （RC）,so as to find an optimal one. The 118 cases of rectocele who had received modified Block procedure（62 cases） ,asymmetrical partial resection of the lower rectum （33 cases） and suture via anal endoscopic straight line stapler （23 cases） respectively, were observed for their clinical efficacy, operative time, introperative bleeding volume, postoperative pain, complication and recurrence rate. The results showed that the curative rate was the highest in the group via endoscopic straight line stapler, the blood loss was the lightest in the group with asymmetrical partical resection of the lower rectum,and the hospi- talization cost was the lowest in the group with modified Block procedure. It is concluded that compared with other two surgical procedures, suture via anal endoscopic straight line stapler owns the merits of simple manipulation, rapid recovery, less complications, and lower recurrence.
出处
《中国肛肠病杂志》
2012年第7期28-29,共2页
Chinese Journal of Coloproctology
关键词
直肠前突
手术
疗效观察
Rectocele
Operation
Clinical efficacy observation
