Curative effect of tissue-selecting therapy stapler combined with posterior vaginal wall folding suture in the treatment of severe rectocele

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Curative effect of tissue-selecting therapy stapler combined with posterior vaginal wall folding suture in the treatment of severe rectocele

更新时间：2022-11-04

- Curative effect of tissue-selecting therapy stapler combined with posterior vaginal wall folding suture in the treatment of severe rectocele
- null Issue 5, Pages: 447(2022)
- 作者机构：
  
  1. 石家庄市人民医院肛肠外科,河北,石家庄,050000
  2. 石家庄市人民医院手术室,河北,石家庄,050000
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Curative effect of tissue-selecting therapy stapler combined with posterior vaginal wall folding suture in the treatment of severe rectocele. [J]. null (5):447(2022)
DOI：

Curative effect of tissue-selecting therapy stapler combined with posterior vaginal wall folding suture in the treatment of severe rectocele. [J]. null (5):447(2022) DOI：

摘要

目的探讨选择性痔上黏膜切除术（TST）联合阴道后壁折叠缝合术治疗重度直肠前突的疗效。方法选取伴有重度直肠前突的出口梗阻型便秘患者80例，随机分为观察组（采用TST联合阴道后壁折叠缝合术）和对照组（采用单纯阴道后壁折叠缝合术），每组40例。比较2组患者的手术时间、术中出血量、住院时间等手术相关指标；于术前和术后1个月行排粪造影检查，比较2组患者直肠前突深度；采用Longo’s出口梗阻型便秘评分评估2组患者术后便秘严重程度；比较2组患者术后便秘症状改善率、复发率以及术后并发症发生率。结果 2组患者手术时间、术中出血量及住院时间比较差异均无统计学意义（P>0.05）。2组患者术前直肠前突深度及Longo’s出口梗阻型便秘评分比较差异无统计学意义（P>0.05），术后2组上述指标均较术前显著改善（P<0.05），观察组术后直肠前突深度及Longo’s出口梗阻型便秘评分短/低于对照组（P<0.05）。术后3个月观察组便秘症状改善率显著高于对照组，而复发率显著低于对照组，差异均有统计学意义（P<0.05）。2组患者术后并发症发生率比较差异无统计学意义（P>0.05）。结论 TST联合阴道后壁折叠缝合术能纠正出口梗阻型便秘患者的直肠前突形态及排便功能紊乱，短期疗效较好。

Abstract

关键词

出口梗阻型便秘重度直肠前突选择性痔上黏膜切除术阴道后壁折叠缝合术疗效并发症

Keywords

outlet obstructive constipationsevere rectoceletissue-selecting therapy staplerposterior vaginal wall folding suturecurative effectcomplication

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