PPH加柱状结扎治疗直肠黏膜内脱垂的临床研究

摘要

Objective The study was to compare with rectal mucosa prolapse clinical efficacy in three different surgery treatments.To explore the reliability of PPH( procedure for prolapse and hemorrhoids) and the longitudinal ligation of rectal mucosa in the treatment of obstructive constipation induced by prolapse of rectal mucosa. Methods A group of 43 cases were treated with PPH and longitudinal ligation of rectal mucosa.B group of 30 cases were treated with PPH.C group of 32 cases were treated with longitudinal ligation of rectal mucosa. Results The cases of three groups had no significant difference in effectiveness comparison.Cure rate of group A was significantly higher than group B and group C.All cases had followed for 6 to 12 months.B and C groups of the recurrence rate were significantly higher than group A. Conclusion The method of PPH and longitudinal ligation of rectal mucosa was the advantage of small trauma, easy to operate,fewer complications,short recovery time, high security for constipation induced by relaxation rectal mucosa and Mergers rectal sudden.%目的：对比三种术式治疗直肠黏膜内脱垂的临床疗效,探讨吻合器直肠黏膜环切术（PPH）加直肠黏膜松弛柱状结扎术治疗直肠黏膜内脱垂型便秘的优越性。方法 A组43例采用吻合器直肠黏膜环切术加直肠黏膜柱状结扎术，B组30例采用吻合器直肠黏膜环切术，C组32例采用直肠黏膜柱状结扎术。结果三组术后有效率比较无显著性差异，A组痊愈率显著高于B、C两组，术后随访6～12个月，B、C两组复发率显著高于A组。结论对于直肠黏膜内脱垂所致的便秘及合并直肠前突所致的便秘，吻合器直肠黏膜环切术（PPH）加直肠黏膜松弛柱状结扎术治疗具有创伤小、操作方便、并发症少、恢复时间短、安全性高等优点。