聯(lián)合術(shù)式治療直腸脫垂102例療效分析

王偉一　趙亞冰

[摘要] 目的 探討聯(lián)合術(shù)式治療直腸脫垂的臨床效果，并對其治療作用進行分析及評價。方法 回顧性分析2014年1—8月該院收治直腸脫垂患者共102例，隨機分為觀察組和對照組，各51例，對照組采用經(jīng)腹直腸懸吊固定術(shù)治療，觀察組采用經(jīng)腹、肛門聯(lián)合術(shù)式方法治療，比較兩組患者的治療效果并分析評價。 結(jié)果 對照組的治療有效率為80.3%，觀察組的治療有效率為94.1%，兩組比較差異有統(tǒng)計學意義（P<0.05）；觀察組患者的住院天數(shù)為（11.57±3.54）d，對照組患者的住院天數(shù)為（21.61 ± 6.23）d，兩組比較差異有統(tǒng)計學意義（P<0.05）；對照組患者術(shù)后并發(fā)癥的發(fā)生率為33.3%，過程組患者術(shù)后并發(fā)癥的發(fā)生率為13.7%，兩組比較差異有統(tǒng)計學意義（P<0.05）。結(jié)論 經(jīng)腹、肛門聯(lián)合術(shù)式治療直腸脫垂有效提高治愈率，縮短患者住院時間，減少患者的住院花銷，同時也有利于減少患者術(shù)后并發(fā)癥的發(fā)生，是值得臨床推廣的治療直腸脫垂的手術(shù)的方法。

[關(guān)鍵詞] 直腸脫垂；聯(lián)合術(shù)式；臨床療效；對比

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2015）04（c）-0063-02

[Abstract] Objective To investigate the clinical effect of combined operation in the treatment of rectal prolapse， and analysis and evaluate its therapeutic effects. Methods 102 cases with rectal prolapse in our hospital from January to August 2014 were retrospectively analyzed， they were randomly divided into observation group and control group， with 51 cases in each group， the control group using abdominal rectal suspension fixation treatment， and the observation group adopted the combined abdome –anus surgery， then compared the treatment effect of patients of two groups. Results The effective rate of the treatment group was 80.3%， the effective rate of treatment in the observation group was 94.1%， the difference between two groups was statistically significant（P<0.05）； the days of hospitalization for patients in the treatment group was（21.61 + 6.23） d， the days of hospitalization for patients in the control group was （21.61 + 6.23） d， the difference between two groups was statistically significant（P<0.05）；the incidence of postoperative complications of the control group was 33.3%，the incidence of postoperative complications of the process group was 13.7%，the difference between two groups was statistically significant（P<0.05）. Conclusion Transabdominal， anal combined with surgical treatment of rectal prolapse is effective to improve the cure rate， shorten the hospitalization time， reduce the inpatient expenses， but also conducive to reduce postoperative complications， is worthy of clinical application methodsfor the treatment of rectal prolapse surgery.

[Key words] Rectal prolapse； Combined operation； Clinical effect； Comparison

直腸脫垂是肛管和直腸以及乙狀結(jié)腸下端位置向下移而突出于肛門外的一種疾病，是肛腸科難治病之一[1]。直腸脫垂多見于兒童及老年人。該病的發(fā)病原因尚未完全清楚，大多老年人的肌肉松馳，女性生育過多或者分娩時出現(xiàn)會陰撕裂，幼兒的發(fā)育不全導致肛提肌和盆底筋膜發(fā)育不全，萎縮，使直腸異位。此外長期便秘、慢性腹瀉以及前列腺肥大導致的排尿困難等均可導致直腸脫垂[2-3]。該研究就該院2014年1—8月該院收治的直腸脫垂患者102例的臨床資料進行回顧性分析，通過比較采用經(jīng)腹直腸懸吊固定術(shù)與經(jīng)腹、肛門聯(lián)合術(shù)式方法治療聯(lián)合術(shù)式治療直腸脫垂的臨床效果，評價聯(lián)合術(shù)式的臨床價值。具體內(nèi)容如下。

1 資料與方法

1.1 一般資料

整群回顧性分析該院肛腸科收治的直腸脫垂患者的臨床資料，共抽取102例，分為對照組和觀察組，各51例，對照組為采用經(jīng)腹直腸懸吊固定術(shù)治療的患者，觀察組為經(jīng)腹、肛門聯(lián)合術(shù)式方法治療聯(lián)合術(shù)式治療的患者。……