中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
63-64
,共2页
直肠脱垂%联合术式%临床疗效%对比
直腸脫垂%聯閤術式%臨床療效%對比
직장탈수%연합술식%림상료효%대비
Rectal prolapse%Combined operation%Clinical effect%Comparison
目的：探讨联合术式治疗直肠脱垂的临床效果，并对其治疗作用进行分析及评价。方法回顾性分析2014年1-8月该院收治直肠脱垂患者共102例，随机分为观察组和对照组，各51例，对照组采用经腹直肠悬吊固定术治疗，观察组采用经腹、肛门联合术式方法治疗，比较两组患者的治疗效果并分析评价。结果对照组的治疗有效率为80.3%，观察组的治疗有效率为94.1%，两组比较差异有统计学意义(P<0.05)；观察组患者的住院天数为(11.57±3.54)d，对照组患者的住院天数为(21.61±6.23)d，两组比较差异有统计学意义(P<0.05)；对照组患者术后并发症的发生率为33.3%，过程组患者术后并发症的发生率为13.7%，两组比较差异有统计学意义(P<0.05)。结论经腹、肛门联合术式治疗直肠脱垂有效提高治愈率，缩短患者住院时间，减少患者的住院花销，同时也有利于减少患者术后并发症的发生，是值得临床推广的治疗直肠脱垂的手术的方法。
目的：探討聯閤術式治療直腸脫垂的臨床效果，併對其治療作用進行分析及評價。方法迴顧性分析2014年1-8月該院收治直腸脫垂患者共102例，隨機分為觀察組和對照組，各51例，對照組採用經腹直腸懸弔固定術治療，觀察組採用經腹、肛門聯閤術式方法治療，比較兩組患者的治療效果併分析評價。結果對照組的治療有效率為80.3%，觀察組的治療有效率為94.1%，兩組比較差異有統計學意義(P<0.05)；觀察組患者的住院天數為(11.57±3.54)d，對照組患者的住院天數為(21.61±6.23)d，兩組比較差異有統計學意義(P<0.05)；對照組患者術後併髮癥的髮生率為33.3%，過程組患者術後併髮癥的髮生率為13.7%，兩組比較差異有統計學意義(P<0.05)。結論經腹、肛門聯閤術式治療直腸脫垂有效提高治愈率，縮短患者住院時間，減少患者的住院花銷，同時也有利于減少患者術後併髮癥的髮生，是值得臨床推廣的治療直腸脫垂的手術的方法。
목적：탐토연합술식치료직장탈수적림상효과，병대기치료작용진행분석급평개。방법회고성분석2014년1-8월해원수치직장탈수환자공102례，수궤분위관찰조화대조조，각51례，대조조채용경복직장현조고정술치료，관찰조채용경복、항문연합술식방법치료，비교량조환자적치료효과병분석평개。결과대조조적치료유효솔위80.3%，관찰조적치료유효솔위94.1%，량조비교차이유통계학의의(P<0.05)；관찰조환자적주원천수위(11.57±3.54)d，대조조환자적주원천수위(21.61±6.23)d，량조비교차이유통계학의의(P<0.05)；대조조환자술후병발증적발생솔위33.3%，과정조환자술후병발증적발생솔위13.7%，량조비교차이유통계학의의(P<0.05)。결론경복、항문연합술식치료직장탈수유효제고치유솔，축단환자주원시간，감소환자적주원화소，동시야유리우감소환자술후병발증적발생，시치득림상추엄적치료직장탈수적수술적방법。
Objective To investigate the clinical effect of combined operation in the treatment of rectal prolapse, and analysis and evaluate its therapeutic effects. Methods 102 cases with rectal prolapse in our hospital from January to August 2014 were retro-spectively analyzed, they were randomly divided into observation group and control group, with 51 cases in each group, the control group using abdominal rectal suspension fixation treatment, and the observation group adopted the combined abdome –anus surgery, then compared the treatment effect of patients of two groups. Results The effective rate of the treatment group was 80.3%, the effective rate of treatment in the observation group was 94.1%, the difference between two groups was statistically significant(P<0.05); the days of hospitalization for patients in the treatment group was (21.61 + 6.23) d, the days of hospitalization for pa-tients in the control group was (21.61 + 6.23) d, the difference between two groups was statistically significant(P<0.05);the inci-dence of postoperative complications of the control group was 33.3%,the incidence of postoperative complications of the process group was 13.7%,the difference between two groups was statistically significant(P<0.05). Conclusion Transabdominal, anal com-bined with surgical treatment of rectal prolapse is effective to improve the cure rate, shorten the hospitalization time, reduce the in-patient expenses, but also conducive to reduce postoperative complications, is worthy of clinical application methodsfor the treat-ment of rectal prolapse surgery.
