吻合器痔上粘膜环切术联合直肠粘膜折叠治疗I度直肠脱垂的研究

doi:10.3969/j.issn.1009-976X.2015.06.012

摘要/Abstract

摘要：

【摘要】目的观察吻合器痔上粘膜环切吻合器术(PPH)联合直肠粘膜折叠术治疗I度直肠脱垂的临床疗效。方法〓选择2010年10月至2014年10月间于我科确诊患有I度直肠脱垂并首次行手术治疗的50例患者,其中25例患者采用传统手术设为对照组,25例患者采用吻合器痔上粘膜环切术联合直肠粘膜折叠术设为观察组。结果〓采用吻合器痔上粘膜环切术联合直肠粘膜折叠术治疗的I度直肠脱垂患者的平均手术时间、住院时间、术后72小时疼痛情况、术后并发症、术后肛门功能恢复情况、远期复发均明显优于传统手术治疗(P<0.05)。结论〓吻合器痔上粘膜环切术联合直肠粘膜折叠术对I度直肠脱垂具有操作简单、疗效确切以及痛苦小等优势,值得推广和应用。

关键词: 吻合器痔上粘膜环切术, 直肠脱垂, 直肠粘膜折叠术, 痔

Abstract:

【Abstract】 Objective To observe the effect of PPH (procedure for prolapse and hemorrhoids) combined with rectal mucosal folds in treatment of I type rectal prolapse. Methods〓Fifty patients with I type rectal prolapse were selected and performed surgical treatment from October 2010 to October 2014, in whom 25 cases underwent PPH combined with rectal mucosal folds (observation group) and another 25 cases received treatment with injecting sclerosing agent (control group). The clinical effect was compered between two groups. Results〓The patients in observation group had less operative time, hospital stay, postoperative complications and recurrence, more alleviative surgical pain, and faster postoperative anal function recovery than that in control. Conclusion〓PPH combined with rectal mucosal folds is optional approach for treatment of I type rectal prolapse.

Key words: Procedure for Prolapse and Hemorrhoids (PPH), Rectal mucosal folds, Hemorrhoids, Rectal prolapse

中图分类号:

R657.1

叶俊华黄明华赵海生. 吻合器痔上粘膜环切术联合直肠粘膜折叠治疗I度直肠脱垂的研究[J]. 岭南现代临床外科, 2015, 15(06): 690-692.

Ye Junhua, Huang Minghua, Zhao Haisheng. Treatment of I type rectal prolapse by using the procedure for prolapse and hemorrhoids combined with rectal mucosal folds[J]. Lingnan Modern Clinics in Surgery, 2015, 15(06): 690-692.

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吻合器痔上粘膜环切术联合直肠粘膜折叠治疗I度直肠脱垂的研究

Treatment of I type rectal prolapse by using the procedure for prolapse and hemorrhoids combined with rectal mucosal folds

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