資源描述:
《PPH聯(lián)合消痔靈注射治療直腸前突的臨床效果觀察.doc》由會員上傳分享,免費在線閱讀,更多相關內容在工程資料-天天文庫。
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PPH聯(lián)合消痔靈注射術和單純PPH術治療直腸前突的療效比較,對比兩種手術方式治療中重度直腸前突的療效。方法對我院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象,并隨訪3年以上,按照兩種術式進行分組,單純PPH術30例,PPH聯(lián)合消痔靈注射術30例,對術后有效率、術后并發(fā)癥進行對比分析。結果兩組患者術后均未使用鎮(zhèn)痛泵,A組并發(fā)癥的發(fā)生率(33.37%)與B組(36.67%)比較,無顯著差異,均未出現(xiàn)肛門狹窄情況;隨著時間的推移
2、,3年A組復發(fā)6例(20.00%),明顯高于B組的2例(6.67%);兩組治療后排便頻率、排便感、肛門墜脹、排便時間均明顯優(yōu)于治療前,差異有統(tǒng)計學意義(P[關鍵詞]PPH;消痔靈;聯(lián)合治療;直腸前突[中圖分類號]R657.1[文獻標識碼]B[文章編號]1673-9701(2016)13-0048-03ObservationofclinicalefficacyofPPHcombinedwithXiaozhilinginjectioninthetreatmentofrectoceleCHENGMinCHENDezhiTheFi
3、rstDepartmentofSurgery,XiangyangDongfengPeople?sHospitalinHubeiProvince,Xiangyang441004,China[Abstract]ObjectiveTocomparetheclinicalefficacyofPPHcombinedwithXiaozhilinginjectionandsinglePPHinthetreatmentofmediumandsevererectocelebycomparingthecuriveeffectsofthetwo
4、surgeries.MethodsSixtypatientswithmediumandsevererectocelewhoreceivedtreatmentfromJune2004toApril2010wereselectedasthesubjectsandfollow-upforover3years.Thepatientsweredividedintotwogroupsbythesurgeriestheyreceivedwith30casesinthesinglePPHgroup(groupA)and30casesint
5、hePPHcombinedwithXiaozhilinginjectiongroup(groupB).Thepostoperativeeffectsandcomplicationswerecomparedandanalyzed?ResultsAnalgesiapumpswerenotappliedonthepatientsfrombothgroups?TheincidenceofcomplicationsingroupA(33.37%)hadnosignificantdifferencescomparedwiththato
6、fgroupB(36.67%),andneitherofthetwogroupshadstrictureofanus;withtimepassingby,theinvalidcasesofthreeyearsingroupAwere6cases(20.00%),whichwassignificantlyhigherthanthoseingroupBof2cases(6.67%);afterthetreatment,patientsintwogroupshadsignificantlybetterdefecationfreq
7、uency,defecatefeeling,strainingfeelinginanusanddefecatingtimethanthatofbeforethetreatmentandthedifferenceshadstatisticalsignificance(P[Keywords]PPH;Xiaozhiling;Combinedtreatment;Rectocele直腸前突(rectcele,RC)即直腸前膨出,多見于中老年經產女性,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出[1],是導致出口梗阻
8、性便秘的常見原因之一。臨床上根據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]o自2000年開始PPH被引進國內,因手術時間短、術中出血少、術后疼痛減輕、住院時間縮短,被廣大臨床醫(yī)生和患者所接受,且技術已日益成熟。我院于2004年開展PPH