CAJ | 학술논문

目的：探讨经会阴巴德补片植入治疗直肠前突的临床效果。方法选择2008年12月-2013年1月确诊的直肠前突患者56例，随机分为观察组和对照组各28例，观察组给予经会阴巴德补片植入治疗，对照组给予直肠闭式修补术。术后评价2组患者的临床疗效、症状评分，同时统计2组患者并发症发生情况。结果2组患者治疗后1周、3个月症状评分均较治疗前明显减少（ P ＜0．05， P ＜0．01），治疗后3个月观察组患者的症状评分明显低于对照组（ P ＜0．05）；观察组患者治愈率、总有效率（89．3％，96．4％）明显高于对照组（75．0％，85．7％）（ P ＜0．05）；对照组发生并发症7例（25．0％），其中性交痛5例，阴道狭窄2例，观察组仅出现性交痛2例（7．1％），2组比较差异有统计学意义（ P ＜0．05）。结论经会阴巴德补片植入治疗直肠前突是一种有效的方法，并发症发生率低，远期效果满意，安全可靠，值得临床推广。
목적：탐토경회음파덕보편식입치료직장전돌적림상효과。방법선택2008년12월-2013년1월학진적직장전돌환자56례，수궤분위관찰조화대조조각28례，관찰조급여경회음파덕보편식입치료，대조조급여직장폐식수보술。술후평개2조환자적림상료효、증상평분，동시통계2조환자병발증발생정황。결과2조환자치료후1주、3개월증상평분균교치료전명현감소（ P ＜0．05， P ＜0．01），치료후3개월관찰조환자적증상평분명현저우대조조（ P ＜0．05）；관찰조환자치유솔、총유효솔（89．3％，96．4％）명현고우대조조（75．0％，85．7％）（ P ＜0．05）；대조조발생병발증7례（25．0％），기중성교통5례，음도협착2례，관찰조부출현성교통2례（7．1％），2조비교차이유통계학의의（ P ＜0．05）。결론경회음파덕보편식입치료직장전돌시일충유효적방법，병발증발생솔저，원기효과만의，안전가고，치득림상추엄。
Objective To explore the clinical effects of perineum Bard patch implantation for treatment of rectocele . Methods Select 56 patients who were diagnosed of rectocele from December 2008 to January 2013 , they were randomly di-vided into observation group and control group with 28 cases in each group , observation group received transperineal Bard patch implantation therapy , the control group received the rectum closed repair .Postoperative evaluation of the clinical effica-cy of the two group, symptom scores, and complications occur rate .Results After 1 week of treatment, and the first three months, compared within the 2 groups, therapy significantly reduced symptom scores in both groups ( P <0.05, P <0.01), after 3 months of treatment , the patient's symptom score in observation group was significantly lower than the control group (P <0.05);cure rate and the total efficiency (89.3%, 96.4%) of patients in the observation group was significantly high-er than control group (75.0%, 85.7%, P <0.05);complications occurred in seven cases in the control group (25.0%), including 5 cases of dyspareunia , vaginal stenosis in 2 patients in the observation group appears only dyspareunia two cases (7.1%), statistically significant difference was found between the two groups ( P <0.05).Conclusion Bard patch trans-perineal rectocele pre-implantation therapy is an effective way to lower complication rate , long-term results were satisfactory , safe and reliable , worthy of promotion .