CAJ | 학술논문

目的评价Gant-Miwa联合肛门环缩及消痔灵注射术治疗直肠全层脱垂的疗效.方法回顾性分析2011年2月-2014年11月在沈阳军区总医院接受Gant-Miwa联合肛门环缩及消痔灵注射术的16例直肠全层脱垂患者的临床资料.结果 16例患者均手术顺利,术后脱垂症状消失,3例出现尿潴留,2例出现肛周术区感染而复发,1例肛周切口延迟愈合,2例出现直肠狭窄致便秘,无大出血、肛周脓肿、肛瘘等并发症,无围手术期死亡病例.术后13例患者接受了平均2.2年的随访,2例直肠脱垂复发.结论 Gant-Miwa联合肛门环缩及消痔灵注射术治疗直肠全层脱垂手术创伤小、术后并发症少、复发率较低,经创新及改良后更值得广泛开展.
목적 평개Gant-Miwa연합항문배축급소치령주사술치료직장전층탈수적료효.방법 회고성분석2011년2월-2014년11월재침양군구총의원접수Gant-Miwa연합항문배축급소치령주사술적16례직장전층탈수환자적림상자료.결과 16례환자균수술순리,술후탈수증상소실,3례출현뇨저류,2례출현항주술구감염이복발,1례항주절구연지유합,2례출현직장협착치편비,무대출혈、항주농종、항루등병발증,무위수술기사망병례.술후13례환자접수료평균2.2년적수방,2례직장탈수복발.결론 Gant-Miwa연합항문배축급소치령주사술치료직장전층탈수수술창상소、술후병발증소、복발솔교저,경창신급개량후경치득엄범개전.
Objective To evaluate the efficacy of Gant-Miwa and anal encircling procedure with Xiaozhiling injection for complete rectal prolapse.Methods Clinical data of 16 patients with complete rectal prolapse undergoing Gant-Miwa and anal encircling procedure with Xiaozhiling injection between Feb.2011 and Nov.2014 were retrospectively analyzed.Results All patients were operated successufully and theirs prolapse symptons disappeared.Urinary retention was found in 3 cases,2 cases were observed a replase who were infected in the area of the anal operation,1 cases was found delayed healing of perianal incision,and 2 cases were happened constipation duing to the rectal stenosis.Complications wasn't happened such as bleeding,perianal abscess,anal fistula,and so on.Thirteen cases were followed-up of average 2.2 years and 2 cases were observed postoperative recurrance.Conclusions Gant-Miwa and anal encircling procedure with Xiaozhiling injection for the treatment of complete rectal prolapse is a procedure with minimally trauma,fewer complications and low recurrence rate,which is worth promoting after innovation and improvement.