直肠黏膜环切联合阴道后壁修补术治疗女性直肠前突型便秘效果分析

郑颖慧; 黎辉; 马小宁; 王永辉; 王旭辉; 曹斌

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直肠黏膜环切联合阴道后壁修补术治疗女性直肠前突型便秘效果分析

临床研究 | 更新时间：2023-05-22

- 直肠黏膜环切联合阴道后壁修补术治疗女性直肠前突型便秘效果分析
- Curative effect analysis of rectal mucosal sleeve resection combined with posterior vaginal wall repair for women patients of constipation of anterior rectocele
- 局解手术学杂志 2019年第8期页码：622
- 作者机构：
  
  1. 华北石油总医院井下医院外科，河北任丘,062552
  2. 华北石油总医院外科，河北任丘,062552
- 作者简介：
- 基金信息：
  
  2017年度省医学适用技术跟踪项目（G201758）
- DOI：
  中图分类号：
- 纸质出版日期：2019，
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郑颖慧, 黎辉, 马小宁, 等. 直肠黏膜环切联合阴道后壁修补术治疗女性直肠前突型便秘效果分析[J]. 局解手术学杂志, 2019,(8):622.

ZHENG Yinghui, LI Hui, MA Xiaoning, et al. Curative effect analysis of rectal mucosal sleeve resection combined with posterior vaginal wall repair for women patients of constipation of anterior rectocele[J]. null, 2019,(8):622.
郑颖慧, 黎辉, 马小宁, 等. 直肠黏膜环切联合阴道后壁修补术治疗女性直肠前突型便秘效果分析[J]. 局解手术学杂志, 2019,(8):622. DOI：

ZHENG Yinghui, LI Hui, MA Xiaoning, et al. Curative effect analysis of rectal mucosal sleeve resection combined with posterior vaginal wall repair for women patients of constipation of anterior rectocele[J]. null, 2019,(8):622. DOI：

摘要

目的分析直肠黏膜环切术联合阴道后壁修补术用于直肠前突型便秘的疗效。方法回顾性分析2016年12月至2018年6月我院83例行手术治疗的直肠前突型便秘患者的临床资料。按手术方法不同分为A组（32例）、B组（30例）、C组（21例）。A组行直肠黏膜环切联合阴道后壁修补术；B组仅行直肠黏膜环切术；C组行直肠切开前突修复术。对比A组与B组手术前后直肠肛管压力指标、术中出血量、手术时间、24 h疼痛评分；对比3组患者术后1个月、6个月及12个月Longoing ODS排便评分；对比3组患者疗效及术后并发症发生情况。结果 A、B组患者术前直肠肛管压力测试差异无统计学意义（P＞0.05）；与本组术前比较，2组患者术后直肠肛管压力测试中肛管舒张压、直肠力排压均显著改善，差异有统计学意义（P＜0.05）；2组患者术后直肠肛管压力测试比较，差异无统计学意义（P＞0.05）；A组、B组术中出血量、24 h疼痛评分均少于C组，A组手术时间较B组和C组长，差异有统计学意义（P＜0.05）。术后1个月、6个月A组Longoing ODS排便评分均较B组和C组低，B组较C组低，差异有统计学意义（P＜0.05）。A组治疗总有效率高于B组和C组， A组术后尿潴留发生率低于B组和C组，差异均有统计学意义（P＜0.05）。结论直肠黏膜环切联合阴道后壁修补术能改善直肠肛管压力，显著改善排便功能。

Abstract

Objective To analyze the efficacy of rectal mucosal sleeve resection combined with posterior vaginal wall repair for women patients of constipation of anterior rectocele. Methods A retrospective analysis of 83 patients with constipation of anterior rectocele who underwent surgery in the hospital from December 2016 to June 2018 were divided into group A (32 cases)

group B (30 cases)

and group C (21 cases) according to different surgical methods. Group A performed rectal mucosal sleeve resection combined with posterior vaginal wall repair; group B performed rectal mucosal sleeve resection; group C performed rectotomy. The indexes of rectal anal canal pressure

intraoperative blood loss

operation time and pain score in 24 hours of group A and group B were compared before and after operation. The Longoing ODS defecation scores of the three groups were compared at 1 month

6 months and 12 months after operation. The efficacy and postoperative complications of the three groups were compared. Results There was no significant difference in rectal anal canal pressure between group A and group B before the surgery (P＞0.05); and the anal diastolic pressure and rectum pressure after operation were significantly improved both in group A and group B compared to those before the surgery

with statistically significant difference (P<0.05); there was no significant difference in rectal anal canal pressure between group A and group B after the surgery (P＞0.05).The intraoperative blood loss and pain scores in 24 hours was lower in group A and group B compared with those in group C. The operation time of group A was longer than that in group B and group C (P<0.05). The Longoing ODS defecation scores of group A were lower than those of group B and group C at 1 month and 6 months after operation

and group B was lower than group C (P<0.05).The total effective rate of group A was higher than that of group B and group C. The incidence of postoperative urinary retention in group A was lower than that in group B and group C(P<0.05). Conclusion Rectal mucosal sleeve resection combined with posterior vaginal wall repair can improve the rectal and anal pressure indicators

and it can significantly promote the improvement of defecation function.

关键词

直肠黏膜环切术阴道后壁修补术直肠前突型便秘排便功能

Keywords

rectal mucosal sleeve resectionposterior vaginal wall repairconstipation of anterior rectoceledefecation function

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