CAJ | 학술논문

目的：比较三种不同手术治疗方式对直肠前突的治疗效果。方法72例女性直肠前突患者分为 A、B、C 组各24例。 A 组采用经肛吻合器直肠黏膜环形切除术，B 组采用经直肠闭式修补术，C 组采用经阴道修补术，比较3组患者治疗显效率、手术时间、术中出血量、住院时间、伤口愈合时间、恢复工作时间等。结果 A、B、C 3组显效率分别为91．66％、79．16％、87．50％，A 组显著高于 B 组（P ＜0．05），与 C 组差异无统计学意义（P ＞0．05）；A 组手术时间、术中出血量、伤口愈合时间、住院时间、恢复工作时间等均显著优于其他两组（均 P ＜0．05）。结论经直肠闭式修补术、经阴道修补术均可有效治疗直肠前突，以经肛吻合器直肠黏膜环形切除术疗效更为显著。
목적：비교삼충불동수술치료방식대직장전돌적치료효과。방법72례녀성직장전돌환자분위 A、B、C 조각24례。 A 조채용경항문합기직장점막배형절제술，B 조채용경직장폐식수보술，C 조채용경음도수보술，비교3조환자치료현효솔、수술시간、술중출혈량、주원시간、상구유합시간、회복공작시간등。결과 A、B、C 3조현효솔분별위91．66％、79．16％、87．50％，A 조현저고우 B 조（P ＜0．05），여 C 조차이무통계학의의（P ＞0．05）；A 조수술시간、술중출혈량、상구유합시간、주원시간、회복공작시간등균현저우우기타량조（균 P ＜0．05）。결론경직장폐식수보술、경음도수보술균가유효치료직장전돌，이경항문합기직장점막배형절제술료효경위현저。
Objective To evaluate the clinical effect of three different surgical methods in the treatment of rectocele. Method 72 cases of female rectocele were divided into three groups, namely, group A, group B and group C, each consisting of 24 subjects.Group A were treated with stapled transanal rectal mucosa annular resection.Group B with transrectal closed repair surgery and group C with transvaginal repair.The operative time, the amount of bleeding, the hospitalization time, the wound healing time, the recovery time, and the rate of effective treatment as used by the three groups were compared.Findings The efficiency rate of group A, group B, and group C were 91.66%, 79.16%, 87. 50% respectively.The rate of the group A was significantly higher than that of group B(P < 0.05).However, the difference between group A and group C in the efficiency rate was not statistically significant (P >0.05).The operative time, the amount of bleeding, the wound healing time, the hospitalization time, and the recovery time of group A were significantly better than those of the other two groups (P <0.05).Conclusion Both transrectal closed repair and vaginal repair surgery can effectively repair rectocele.However, stapled transanal rectal mucosa annular resection was found to be the most effective method.