直肠前突修补联合PPH术对直肠前突患者预后的改善作用

摘要

Objective To explore the effect of anterior rectum repair combined with PPH in patients with rectal protrusion.Methods 60 patients with rectal protrusion who were treated in our hospital from February 2016 to June 2016 were selected as study subject.Using random number table method,they were randomly assigned to the control group (n=30) and the treatment group (n=30).Patients in the control group were treated with conventional transanal rectocele repair,and the observation group with rectocele repair combined with PPH.The Longo Ods score,defecation score,and complications before the surgery,and 1 and 3 month after the surgery were compared.Results There were no differences between the two groups in Longo Ods score before the surgery and at 1 month after the surgery.At 3-month after the surgery,the Longo Ods score and defecation scores in the control group were significantly higher than in the treatment group(P ＜ 0.05).The total rate of complications in the treatment group were lower than that in the control group(P ＜ 0.05).Conclusion Anterior rectum repair combined with PPH can significantly improve patients' defecation situation,and decrease the incidence of complications.It has significant clinical effect and great clinical potential.%目的 分析直肠前突修补联合PPH术对直肠前突者预后的改善作用.方法 选取2016年2月至2016年6月本科室收治的60例直肠前突患者为研究对象,随机将对象分为对照组和观察组,每组各30例.对照组予传统经肛门直肠前突修补术,观察组予直肠前突修补联合PPH术,比较两组患者术后1个月和3个月的Longo Ods评分、排便及并发症情况.结果 两组患者术前、术后1个月的Longo Ods评分比较,差异均无统计学意义(P＞0.05).两组术后1个月排便情况差异有统计学意义(P＜0.05).术后3个月,观察组Longo Ods评分,排便情况显著优于对照组,差异有统计学意义(P＜0.05).观察组术后肛门刺激感、尿潴留及暂时性急便感情况的总发生率显著低于对照组,差异有统计学意义(P＜0.05).结论 与传统经肛门直肠前突修补术相比,直肠前突修补术联合PPH术的治疗直肠前突、改善患者的排便情况更优,术后并发症的发生率较低.