CAJ | 학술논문

目的：观察和评价吻合器直肠黏膜环切术治疗直肠前突所致出口梗阻型便秘的临床疗效。方法将100例经排粪造影检查证实直肠前突深度≥30 mm 的患者随机分为观察组和对照组，其中观察组50例，采用吻合器直肠黏膜环切术；对照组50例，采用经直肠切开前突修补术。比较观察两组患者的手术用时、术中出血量情况，并根据疗效评分标准进行评价。结果两组临床疗效比较，观察组明显优于对照组(P <0.05)；两组手术时间比较，差异无统计学意义(P >0.05)；两组术中出血量比较，观察组明显优于对照组(P <0.05)。两组均无直肠阴道瘘、直肠周围感染、直肠狭窄等并发症发生。结论吻合器直肠黏膜环切术治疗直肠前突操作简单、安全，具有疗效好、微创、并发症少等优点，值得临床推广。
목적：관찰화평개문합기직장점막배절술치료직장전돌소치출구경조형편비적림상료효。방법장100례경배분조영검사증실직장전돌심도≥30 mm 적환자수궤분위관찰조화대조조，기중관찰조50례，채용문합기직장점막배절술；대조조50례，채용경직장절개전돌수보술。비교관찰량조환자적수술용시、술중출혈량정황，병근거료효평분표준진행평개。결과량조림상료효비교，관찰조명현우우대조조(P <0.05)；량조수술시간비교，차이무통계학의의(P >0.05)；량조술중출혈량비교，관찰조명현우우대조조(P <0.05)。량조균무직장음도루、직장주위감염、직장협착등병발증발생。결론문합기직장점막배절술치료직장전돌조작간단、안전，구유료효호、미창、병발증소등우점，치득림상추엄。
Objective To observe and evaluate the clinical efficacy of stapled rectal mucosa cerclage on treating outlet obstructive constipation due to rectocele.Methods One hundred patients who were con-firmed rectocele more than 30mm through defecography were randomly divided into the treatment group and the control group.Fifty patients in the treatment group were given the stapled rectal mucosa cerclage, and 50 patients in the control group were given the transrectal incision rectocele repair operation.The op-eration time and the amount of bleeding in operation condition of the two groups were compared,observed and evaluated according to the effect of grading standard.Results In the respect of clinical effect,the sta-pled rectal mucosa cerclage is obviously better than the transrectal incision rectocele repair operation (P <0.05).There was no statistically significant difference when comparing operation time between two groups (P >0.05).The stapled rectal mucosa cerclage in the respect of hemorrhagic in operation has remarkable effect comparing the transrectal incision rectocele repair operation (P <0.05 ).No rectovaginal fistula, perirectal infections and proctostenosis-related complication was occurred in both groups.Conclusion The stapled rectal mucosa cerclage in treating rectocele is simple and safe.Being less invasive and less compli-cations,it has a advantage of good curative effect and it’s worthy of clinical application.