摘要
目的:比较痔上黏膜环切术(PPH)和经肛吻合直肠切除术(STARR)在直肠前突的治疗中的效果。方法:回顾性2009年1月-2010年1月间在我院确诊直肠前突并治疗的患者的病例资料,筛选81例直肠前突患者按手术的方法分为两组,ST组43例患者采用STARR术治疗;PP组38例患者采用PPH术治疗。对两组患者的随访时间为12个月,失访1例(为ST组),失访率为1.23%。比较两组患者的手术时间、术后治疗时间、改善情况、费用等结果。结果:PP组在手术时间上短于ST组(P<0.05),在术后治疗时间上两者差异无统计学意义,ST组在手术费用上超过PP组。ST组和PP组术后3个月改善情况无明显差异。术后12个月随访中,ST组改善情况超过PP组(P<0.05)。结论:STARR术治疗直肠前突手术远期效果优于PPH术,但是手术时间较长,治疗费用较高。
Objeetive： To compare with the effectiveness of two methods of treatment for rectocele： Procedure for Prolapse and Hemorrhoid （PPH） and Stapled Transanal Rectal Resection （STARR）. Methods： Retrospective analysis from January 2009 to January 2010, the women who diagnosed as rectocele patients and clinical treated in our hospital was included in the study. 81 eases were randomly divided into two groups. ST group was treated with STARR with 43 cases;PP group was treated with PPH with 38 cases. Two groups were compared with operative time, postoperative treatment time, improvement of their situations and cost of the disease. Results. ST group was significant difference comparing with PP group by the operative time （P〈0. 05）. But in the postoperative treatment time there was no statistically significant difference between the two groups. The cost of the ST group was higher than the PP group＇s. Two groups of patients were followed up for 12 months,and lost one case in the ST group, and lose rate was 1.23%. ST and PP group after three months of follow-up improvement of situations was no significant difference. After 12 months of follow-up, improvement of situations between ST and PP group was significant difference. Conclusion. The long-term ef- fectiveness of STARR treatment for rectal surgery was higher than PPH, but the operation time is longer, the treatment cost is higher.
出处
《医学理论与实践》
2014年第12期1554-1555,1568,共3页
The Journal of Medical Theory and Practice
关键词
经肛吻合直肠切除术
痔上黏膜环切术
直肠前突
Procedure for Prolapse and Hemorrhoid,Stapied Transanal Rectal Resection,Rectocele
