中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
6期
615-617
,共3页
经肛吻合器直肠切除术%直肠前突
經肛吻閤器直腸切除術%直腸前突
경항문합기직장절제술%직장전돌
Stapled transanal rectal resection%Rectocele
目的 评价经肛吻合器直肠切除(STARR)术在治疗直肠前突的临床疗效及安全性.方法 采用PPH吻合器作半环型直肠下端黏膜切除治疗92例直肠前突患者,观察手术时间、手术效果、并发症及复发率.结果 手术全部成功完成,平均手术时间(25±8)min,总有效率达100%,术后出现下腹不适及胀痛32例(34.7%),尿潴留9例(9.8%),肛门部疼痛5例(5.4%),出血3例(3.3%),术后住院时间1.0~5.0 d.平均(2.2±0.9)d;随访4~40个月未见复发病例.结论 STARR术治疗直肠前突,具有手术安全,恢复快,近期疗效满意和复发率低等优点.
目的 評價經肛吻閤器直腸切除(STARR)術在治療直腸前突的臨床療效及安全性.方法 採用PPH吻閤器作半環型直腸下耑黏膜切除治療92例直腸前突患者,觀察手術時間、手術效果、併髮癥及複髮率.結果 手術全部成功完成,平均手術時間(25±8)min,總有效率達100%,術後齣現下腹不適及脹痛32例(34.7%),尿潴留9例(9.8%),肛門部疼痛5例(5.4%),齣血3例(3.3%),術後住院時間1.0~5.0 d.平均(2.2±0.9)d;隨訪4~40箇月未見複髮病例.結論 STARR術治療直腸前突,具有手術安全,恢複快,近期療效滿意和複髮率低等優點.
목적 평개경항문합기직장절제(STARR)술재치료직장전돌적림상료효급안전성.방법 채용PPH문합기작반배형직장하단점막절제치료92례직장전돌환자,관찰수술시간、수술효과、병발증급복발솔.결과 수술전부성공완성,평균수술시간(25±8)min,총유효솔체100%,술후출현하복불괄급창통32례(34.7%),뇨저류9례(9.8%),항문부동통5례(5.4%),출혈3례(3.3%),술후주원시간1.0~5.0 d.평균(2.2±0.9)d;수방4~40개월미견복발병례.결론 STARR술치료직장전돌,구유수술안전,회복쾌,근기료효만의화복발솔저등우점.
Objective To evaluate the clinical curative effect and safety of the stapled transanal rectal resection (STARR) in treatment rectocele. Methods Ninety-two cases suffering from rectocele were treated with rectal inferior extremity half circum mucosectomy by PPH stapler. The operative time, operation effect,complication and recurrence rate were studied. Results All cases were operated successfully. The mean operation time was (25 ±8)min,The totol effective rate was 100% ,postoperative complication included inferior abdomen discomfort and pain (32 cases,34. 7%),urinary retention(9 cases,9. 8%) ,anal anus pain(5 cases, 5. 4%) and bleeding(3 cases,3. 3%). The average length of postoperative stay was 1-5 days (average[2. 2 ±0. 9]days). The follow-up period ranged from 4 to 40 months and no recurrence was observed. Conclusion The stapled transanal rectal resection (STARR) has several advantages,such as safety,rapid recovery,good recent therapeutic effect and lower recurrence in treating rectocele.