【摘要】：目的:探討應用直腸黏膜柱狀排列結(jié)扎術(shù)、直腸周圍間隙注射術(shù)聯(lián)合肛門環(huán)縮術(shù)(經(jīng)肛三聯(lián)術(shù))治療重度直腸脫垂的療效及安全性。方法:以2014年3月至2016年3月來我院肛腸中心就診并接受手術(shù)治療的50例中重度直腸脫垂患者為研究對象。應用隨機數(shù)字表法,將其隨機分為治療組和對照組,每組25例,其中治療組采用三聯(lián)術(shù)治療,對照組采用肛門環(huán)縮術(shù)聯(lián)合直腸周圍硬化劑注射術(shù)進行治療。依據(jù)治愈例數(shù)、排便持續(xù)時間改善情況、排便頻次改善情況、以及隨訪期肛門墜脹感、肛門脫出情況評價兩種術(shù)式的療效,住院天數(shù)、隨訪期直腸脫垂復發(fā)情況評價其安全性。結(jié)果:經(jīng)肛三聯(lián)治療術(shù)(治療組)治愈例數(shù)明顯高于常規(guī)手術(shù)組(對照組);術(shù)前兩組患者排便持續(xù)時間、排便頻次均無顯著差異,經(jīng)過手術(shù)治療后,兩組患者排便持續(xù)時間均顯著縮短(均P0.05),其中治療組改善幅度大于對照組(P0.05),治療組患者排便頻次顯著增加(P0.05),對照組患者排便頻次變化不明顯(P0.05);治療組術(shù)后直腸脫垂復發(fā)的概率明顯低于對照組,在改善患者肛門墜脹感癥狀上明顯優(yōu)于對照組。治療組患者隨訪期直腸脫垂復發(fā)例數(shù)明顯低于對照組(均P0.05),但住院時間較對照組延長。結(jié)論:與常規(guī)手術(shù)治療相比,經(jīng)肛三聯(lián)術(shù)治療重度直腸脫垂療效顯著,預后良好,安全性高,值得在臨床推廣應用。
[Abstract]:Objective: to evaluate the efficacy and safety of rectal mucosal columnar ligation, perirectal space injection and anal ring contraction (transanal triple operation) in the treatment of severe rectal prolapse. Methods: from March 2014 to March 2016, 50 patients with moderate and severe rectal prolapse who had been admitted to our hospital from March 2014 to March 2016 were studied. The patients were randomly divided into the treatment group (n = 25) and the control group (n = 25). The treatment group was treated with triple therapy, and the control group was treated with anal ring contraction combined with perirectal sclerosing agent injection. According to the number of cured cases, the improvement of defecation duration, the improvement of defecation frequency, the feeling of anus fall and distention during the follow-up period, the condition of anal prolapse, the efficacy of the two operations, the days of hospitalization, and the rectum prolapse recurrence during the follow-up period, the safety of the two operations was evaluated. Results: the number of cured cases in the treatment group was significantly higher than that in the conventional operation group (control group). There was no significant difference in defecation duration and defecation frequency between the two groups before operation. After surgical treatment, the defecation duration of the two groups was significantly shortened (P0.05), and the improvement of the treatment group was greater than that of the control group (P0.05). The defecation frequency in the treatment group was significantly increased (P0.05), while the defecation frequency in the control group was not significantly changed (P0.05). The recurrence rate of rectum prolapse in the treatment group was significantly lower than that in the control group, and was superior to that in the control group. The number of rectum prolapse recurrence in the treatment group was significantly lower than that in the control group (P0.05), but the hospitalization time was longer than that in the control group. Conclusion: compared with conventional surgical treatment, transanal triple surgery is effective in the treatment of severe rectal prolapse, with good prognosis and high safety. It is worth popularizing in clinical practice.
【學位授予單位】：廣西中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R657.1

【參考文獻】

相關(guān)期刊論文 前10條

1 張曰濤;陳秋楠;劉棟;;直腸脫垂患者微創(chuàng)手術(shù)的效果研究[J];腹腔鏡外科雜志;2016年03期

2 劉鵬;;經(jīng)肛門三柱法直腸脫垂固定術(shù)、肛門縮窄術(shù)治療直腸完全脫垂患者臨床療效分析[J];中國民康醫(yī)學;2016年04期

3 海貝貝;;直腸脫垂患者行肛三聯(lián)術(shù)的圍術(shù)期中西醫(yī)結(jié)合護理[J];中國實用醫(yī)藥;2016年05期

4 李建平;;針灸配合補中益氣湯治療直腸脫垂臨床研究[J];河南中醫(yī);2015年11期

5 董海城;吳芳;;灸百會配合中藥熏洗治療小兒不完全直腸脫垂1例[J];中醫(yī)外治雜志;2015年05期

6 袁鵬;付琦;李春雨;李英杰;朱鑠同;孟慶臣;路瑤;林樹森;;經(jīng)肛三聯(lián)術(shù)與Delorme術(shù)治療成人Ⅱ、Ⅲ度直腸脫垂的療效評價[J];結(jié)直腸肛門外科;2015年02期

7 姚遠;胡占起;田振國;;三聯(lián)手術(shù)配合中醫(yī)療法治療直腸脫垂療效觀察[J];遼寧中醫(yī)藥大學學報;2015年02期

8 劉一萍;黃玉海;任海博;黎笑歡;楊萍;;腹腔鏡直腸懸吊折疊術(shù)治療直腸脫垂臨床觀察[J];基層醫(yī)學論壇;2015年04期

9 劉任林;;經(jīng)肛三聯(lián)術(shù)治療三度直腸脫垂的臨床效果分析[J];當代醫(yī)學;2015年03期

10 吳詠雄;;吻合器痔上黏膜環(huán)切術(shù)治療直腸脫垂的療效分析[J];當代醫(yī)學;2014年34期

相關(guān)會議論文 前1條

1 吳志華;;補氣化淤法治療小兒脫肛[A];江西省中醫(yī)藥學會2011年學術(shù)年會論文集[C];2011年

相關(guān)碩士學位論文 前2條

1 馬樹梅;消痔靈注射治療完全性直腸脫垂的臨床研究[D];中國中醫(yī)科學院;2009年

2 馬永勛;三聯(lián)術(shù)治療直腸脫垂的臨床療效觀察[D];遼寧中醫(yī)藥大學;2009年

，

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