柱状缝合加硬化注射治疗直肠前突的临床研究
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摘要
目的:观察和评价柱状缝合加硬化注射法治疗直肠前突的临床疗效。
方法:将40例中度及中度以上的直肠前突患者随机分成2组,其中试验组20例,对照组20例。试验组行柱状缝合加硬化注射法治疗,对照组行经阴道切开修补术。观察两组病例的治愈率、术中出血、术后出血、术后疼痛、术后坠胀、术后感染、术后创面愈合时间和随访术后3个月的复发情况,应用统计学软件SPSS 13.0对结果进行统计学分析,P＜0.05表示差异有统计学意义。
结果:患者治疗后症状评分较治疗前降低,两组治疗效果相比无统计学差异。但试验组在术中出血、术后疼痛、术后创面愈合时间等方面则优于对照组,两组比较有统计学意义(P＜0.05)。两组间在术后出血,术后坠胀、术后感染方面无统计学意义(P＞0.05)。
结论:柱状缝合加硬化注射法是一种治疗直肠前突的简便有效的方法,具有操作简便、出血少、患者痛苦小、感染率低、疗程短等优点。
Objective: To observe and assess the therapeutic effect of rectocele with stylolitic and Sclerotherapy.
Methods: The 40 cases of rectocele were allocated randomized tothe study group and the control group. The study groups (20cases) received stylolitic and Sclerotherapy and the control groups(20cases) received the operationg of transvaginal incision and repair. Observe the bleeding rate, the volume of blood loss in operation and postoperative, the postoperative pain and infection, the time of the healing and the relapse rate in three months. The relative results were calculated statistically with SPSS13. 0 software. Statistically significance was accepted as the P value less than 0. 05.
Results: Score on symptom was lower in the study group and thecontrol group than before the treatment. The treatment effect was similar in the two groups. The study group had significant less operative bleeding、postoperative pain and the time of healing than the control group (P<0. 05) . There was no difference between the two groups in the volume of blood loss in postoperative, postoperative infection (P>0.05) .
Conclusion: Stylolitic and Sclerotherapy is a more convenient and active therapeutics to rectocele .
方法:将40例中度及中度以上的直肠前突患者随机分成2组,其中试验组20例,对照组20例。试验组行柱状缝合加硬化注射法治疗,对照组行经阴道切开修补术。观察两组病例的治愈率、术中出血、术后出血、术后疼痛、术后坠胀、术后感染、术后创面愈合时间和随访术后3个月的复发情况,应用统计学软件SPSS 13.0对结果进行统计学分析,P＜0.05表示差异有统计学意义。
结果:患者治疗后症状评分较治疗前降低,两组治疗效果相比无统计学差异。但试验组在术中出血、术后疼痛、术后创面愈合时间等方面则优于对照组,两组比较有统计学意义(P＜0.05)。两组间在术后出血,术后坠胀、术后感染方面无统计学意义(P＞0.05)。
结论:柱状缝合加硬化注射法是一种治疗直肠前突的简便有效的方法,具有操作简便、出血少、患者痛苦小、感染率低、疗程短等优点。
Objective: To observe and assess the therapeutic effect of rectocele with stylolitic and Sclerotherapy.
Methods: The 40 cases of rectocele were allocated randomized tothe study group and the control group. The study groups (20cases) received stylolitic and Sclerotherapy and the control groups(20cases) received the operationg of transvaginal incision and repair. Observe the bleeding rate, the volume of blood loss in operation and postoperative, the postoperative pain and infection, the time of the healing and the relapse rate in three months. The relative results were calculated statistically with SPSS13. 0 software. Statistically significance was accepted as the P value less than 0. 05.
Results: Score on symptom was lower in the study group and thecontrol group than before the treatment. The treatment effect was similar in the two groups. The study group had significant less operative bleeding、postoperative pain and the time of healing than the control group (P<0. 05) . There was no difference between the two groups in the volume of blood loss in postoperative, postoperative infection (P>0.05) .
Conclusion: Stylolitic and Sclerotherapy is a more convenient and active therapeutics to rectocele .
引文
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[3]张东铭.肛肠外科解剖学的现代进展.中国实用外科杂志,2001,(11):682
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