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1、PPH聯(lián)合消痔靈注射治療直腸前突的臨床效果觀察[摘要]目的通過(guò)PPH聯(lián)合消痔靈注射術(shù)和單純PPH術(shù)治療直腸前突的療效比較,對(duì)比兩種手術(shù)方式治療中重度直腸前突的療效。方法對(duì)我院2004年6月?2010年4月期間治療的中重度直腸前突的60例患者作為本次的研究對(duì)象,并隨訪3年以上,按照兩種術(shù)式進(jìn)行分組,單純PPH術(shù)30例,PPH聯(lián)合消痔靈注射術(shù)30例,對(duì)術(shù)后有效率、術(shù)后并發(fā)癥進(jìn)行對(duì)比分析。結(jié)果兩組患者術(shù)后均未使用鎮(zhèn)痛泵,A組并發(fā)癥的發(fā)生率(33.37%)與B組(36.67%)比較,無(wú)顯著差異,均未出現(xiàn)肛門(mén)狹窄情況;隨著時(shí)間的推移,3年A組復(fù)發(fā)6例(20.00%),明顯高
2、于B組的2例(6.67%);兩組治療后排便頻率、排便感、肛門(mén)墜脹、排便時(shí)間均明顯優(yōu)于治療前,差異有統(tǒng)計(jì)學(xué)意義(P[關(guān)鍵詞]PPH;消痔靈;聯(lián)合治療;直腸前突[中圖分類(lèi)號(hào)]R657.1[文獻(xiàn)標(biāo)識(shí)碼]B[文章編號(hào)]1673-9701(2016)13-0048-03ObservationofclinicalefficacyofPPHcombinedwithXiaozhilinginjectioninthetreatmentofrectoceleCHENGMinCHENDezhiTheFirstDepartmentofSurgery,XiangyangDongfengPe
3、ople?sHospitalinHubeiProvince,Xiangyang441004、China[Abstract]ObjectiveTocomparetheclinicalefficacyofPPHcombinedwithXiaozhilinginjectionandsinglePPHinthetreatmentofmediumandsevererectocelebycomparingthecuriveeffectsofthetwosurgeries.MethodsSixtypatientswithmediumandsevererectocelewhore
4、ceivedtreatmentfromJune2004toApril2010wereselectedasthesubjectsandfollow-upforover3years.Thepatientsweredividedintotwogroupsbythesurgeriestheyreceivedwith30casesinthesinglePPHgroup(groupA)and30casesinthePPHcombinedwithXiaozhilinginjectiongroup(groupB)?Thepostoperativeeffectsandcomplic
5、ationswerecomparedandanalyzed?ResultsAnalgesiapumpswerenotappliedonthepatientsfrombothgroups?TheincidenceofcomplicationsingroupA(33.37%)hadnosignificantdifferencescomparedwiththatofgroupB(36.67%),andneitherofthetwogroupshadstrictureofanus;withtimepassingby,theinvalidcasesofthreeyearsi
6、ngroupAwere6cases(20.00%),whichwassignificantlyhigherthanthoseingroupBof2cases(6.67%);afterthetreatment,patientsintwogroupshadsignificantlybetterdefecationfrequency,defecatefeeling,strainingfeelinginanusanddefecatingtimethanthatofbeforethetreatmentandthedifferenceshadstatisticalsignif
7、icance(P[Keywords]PPH;Xiaozhiling;Combinedtreatment;Rectocele直腸前突(rectcele,RC)即直腸前膨出,多見(jiàn)于中老年經(jīng)產(chǎn)女性,是由于直腸前壁和陰道后壁之間肌層組織薄弱引起的直腸前壁向前突岀[1],是導(dǎo)致出口梗阻性便秘的常見(jiàn)原因之一。臨床上根據(jù)排糞造影將直腸前突分為3度:輕度(I)6?15mm,中度(II)16?30mm,重度(III)>30mm[2]0自2000年開(kāi)始PPH被引進(jìn)國(guó)內(nèi),因手術(shù)時(shí)間短、術(shù)中出血少、術(shù)后疼痛減輕、住院時(shí)間縮短,被廣大臨床醫(yī)生和患者所接受,且技術(shù)已日益成熟。我院于2004年
8、開(kāi)展PPH