CAJ | 학술논문

目的：探讨经会阴横切横缝法治疗直肠前突性功能性便秘的疗效。方法2011年9月～2013年3月，选取菏泽家政职业学院附属医院直肠前突性功能性便秘38例，采用会阴部横行切口，钝性分离直肠阴道隔，7号线横行缝合两侧肛提肌。结果手术时间23～40 min，平均28 min；术中出血8～35 ml，平均15 ml；术后疼痛Ⅰ度35例，Ⅱ度3例；肛门坠胀感36例；住院时间6～10 d，平均8 d。术后随访时间7～12个月，便秘治愈36例，好转2例。结论经会阴入路横行缝合法治疗直肠前突性功能性便秘疗效肯定，手术安全。
목적：탐토경회음횡절횡봉법치료직장전돌성공능성편비적료효。방법2011년9월～2013년3월，선취하택가정직업학원부속의원직장전돌성공능성편비38례，채용회음부횡행절구，둔성분리직장음도격，7호선횡행봉합량측항제기。결과수술시간23～40 min，평균28 min；술중출혈8～35 ml，평균15 ml；술후동통Ⅰ도35례，Ⅱ도3례；항문추창감36례；주원시간6～10 d，평균8 d。술후수방시간7～12개월，편비치유36례，호전2례。결론경회음입로횡행봉합법치료직장전돌성공능성편비료효긍정，수술안전。
Objective To investigate the effect of transverse suture of musculi levator ani via transverse perineal incision for functional constipation caused by rectocele . Methods From September 2011 to March 2013, 38 cases of functional constipation caused by rectocele were selected . Patients received transverse incision of perineum , blunt separation of rectovaginal septum , transverse suture of both sides of musculi levator ani with 7#suture. Results Operative time was 23-40 min, with an average of 28 min;intraoperative blood loss was 8-35 ml, with an average of 15 ml;postoperative pain included 35 cases of grade Ⅰand 3 cases of grade Ⅱ;anal bulge was found in 36 cases;hospital stay was 6-10 d, with an average of 8 d.All cases were followed up for 7-12 months, 36 cases were cured and 2 cases improved. Conclusion Perineal approach transverse suture of musculi levator ani is safe and effective for the treatment of functional constipation caused by rectocele .