| 摘要: |
| ［摘要］ 目的 探讨治疗中、重度直肠前突伴直肠黏膜内套叠引起的直肠排空障碍型便秘的手术方法和治疗效果。方法 对32例中、重度直肠前突伴直肠黏膜内套叠采用吻合器直肠黏膜环形切除吻合、直肠前壁闭式缝合、消痔灵注射和肛门内括约肌部分切断术治疗。结果 28例治愈，4例明显好转，有效率为100%。结论 吻合器直肠黏膜环形切除吻合、直肠前壁闭式缝合、消痔灵注射和肛门内括约肌部分切断术治疗中、重度直肠前突伴直肠黏膜内套叠引起的直肠排空障碍型便秘创伤小、操作简单、疗效显著、并发症少、患者痛苦小、愈合快。 |
| 关键词: 直肠前突 直肠黏膜内套叠 四联疗法 临床观察 |
| DOI：10.3969/j.issn.1674-3806.2010.12.14 |
| 分类号:R 657.1 |
| 基金项目: |
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| Treatment effect of quadruple therapy in curing moderate and severe degree rectocele and rectal internal mucosal intussusception |
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LI Qi-han,LI Qi-wei
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Department of Anal and Rectal Diseases,the People′s Hospital of Meizhou,Guangdong 514031,China
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| Abstract: |
| ［Abstract］ Objective To investigate surgical styles and treatment effect of curing rectal evacuation disorder type constipation caused by moderate and severe degree rectocele and rectal internal mucosal intussusception.Methods Thirty-two patients with moderate and severe degree rectocele and rectal internal mucosal intussusception were operated by quadruple therapy, including circular rectal mucosal resection and anastomosis with stapler, rectal antetheca closed anastomosis, xiaozhiling injection and partial resection of sphincter ani internus.Results Among 32 patients 28 cases were cured, 4 cases were obviously improved. The effective rate was 100%.Conclusion Quadruple therapy, including circular rectal mucosal resection and anastomosis with stapler, rectal antetheca closed anastomosis, xiaozhiling injection and partial resection of sphincter ani internus has remarkable therapeutic effect in curing rectal evacuation disorder type constipation caused by moderate and severe degree rectocele and rectal internal mucosal intussusception, with fewer complications, simple operation, little pain, quick recovery and minimally damage. |
| Key words: Rectocele Rectal internal mucosal intussusception Quadruple therapy Clinical observation |
