[1]杨继闽.吻合器痔上黏膜环切术联合Block术治疗女性直肠前突出口梗阻型便秘疗效观察[J].新乡医学院学报,2019,36(2):168-171.[doi:10.7683/xxyxyxb.2019.02.017]
YANG Ji-min.Effect of procedure for prolapse and hemorrhoids combined with Block neoplasty in the treatment of outlet obstructive constipation caused by rectocele in female patients[J].Journal of Xinxiang Medical University,2019,36(2):168-171.[doi:10.7683/xxyxyxb.2019.02.017]
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吻合器痔上黏膜环切术联合Block术治疗女性直肠前突出口梗阻型便秘疗效观察
《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]
- 卷:
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36
- 期数:
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2019年2
- 页码:
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168-171
- 栏目:
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临床研究
- 出版日期:
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2019-02-05
文章信息/Info
- Title:
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Effect of procedure for prolapse and hemorrhoids combined with Block neoplasty in the treatment of outlet obstructive constipation caused by rectocele in female patients
- 作者:
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杨继闽
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（濮阳市油田总医院肛肠科，河南 濮阳 457000）
- Author(s):
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YANG Ji-min
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（Department of Anorectal Disease，Puyang Oilfield General Hospital，Puyang 457000，Henan Province，China）
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- 关键词:
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出口梗阻型便秘; 直肠前突; 吻合器痔上黏膜环切术; Block术
- Keywords:
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outlet obstructive constipation; rectocele; procedure for prolapse and hemorrhoids; Block neoplasty
- 分类号:
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R574.63
- DOI:
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10.7683/xxyxyxb.2019.02.017
- 文献标志码:
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A
- 摘要:
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目的 探讨吻合器痔上黏膜环切术（PPH）联合Block术治疗女性直肠前突出口梗阻型便秘（OOC）的临床效果。方法 选择2015年6月至2017年6月濮阳市油田总医院收治的64例直肠前突OOC女性患者为研究对象，根据治疗方法将患者分为观察组和对照组，每组32例。对照组患者采用Block术治疗，观察组患者采用PPH联合Block术治疗。记录2组患者的手术时间、术中出血量、住院时间及恢复正常活动时间；2组患者分别于手术前及手术后3、6个月进行便秘Wexner评分及疼痛视觉模拟评分法（VAS）评分；术后第7天评估患者治疗效果并记录术后并发症发生情况。结果 观察组患者手术时间、恢复正常活动时间及住院时间显著短于对照组，术中出血量显著少于对照组（P<0.05）。术前2组患者便秘Wexner评分及疼痛VAS评分比较差异无统计学意义（P>0.05）；2组患者术后3、6个月便秘Wexner评分及疼痛VAS评分显著低于术前（P<0.05），2组患者术后6个月便秘Wexner评分及疼痛VAS评分显著低于术后3个月（P<0.05）；术后3、6个月时，观察组患者便秘Wexner评分及疼痛VAS评分显著低于对照组（P<0.05）。对照组和观察组患者治疗总有效率分别为75.00%（24/32）、93.75%（30/32），观察组患者治疗总有效率高于对照组（χ2=4.273，P<0.05）。2组患者术后便急感或肛门下坠感、尿潴留、便血、排气性肛门失禁及肛裂发生率比较差异均无统计学意义（P>0.05）。结论 PPH联合Block术治疗女性直肠前突OOC可有效改善患者便秘症状和肛门疼痛。
- Abstract:
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Objective To investigate clinical effect of procedure for prolapse and hemorrhoids（PPH） combined with Block neoplasty in the treatment of outlet obstructive constipation（OOC） caused by rectocele in female patients.Methods A total of 64 female patients with OOC caused by rectocele in Puyang Oilfield General Hospital from June 2015 to June 2017 were selected as the subjects.The patients were divided into observation group and control group according to the treatment method，32 cases in each group.The patients in the control group were treated with Block neoplasty，while the patients in the observation group were treated with PPH combined with Block neoplasty.The operation time，intraoperative bleeding volume，hospitalization time and return to normal activity time of the patients in the two groups were recorded.The Wexner score of constipation and visual analogue scales （VAS） score of pain were performed before and 3，6 months after operation in the two groups.The curative effect was evaluated on the 7th day after operation，and the complications were recorded.Results The operation time，return to normal activity time and hospitalization time of the patients in the observation group were significantly shorter than those in the control group，and the intraoperative bleeding volume in the observation group was significantly less than that in the control group （P<0.05）.There was no significant difference in Wexner score of constipation and VAS score of pain between the two groups before operation （P>0.05）.The Wexner score of constipation and VAS score of pain at 3 and 6 months after operation were significantly lower than those before operation in the two groups （P<0.05）.The Wexner score of constipation and VAS score of pain at 6 months after operation were significantly lower than those at 3 months after operation in the two groups （P<0.05）.The Wexner score of constipation and VAS score of pain in the observation group were significantly lower than those in the control group at 3 and 6 months after operation （P<0.05）.The total effective rate in the control group and the observation group was 75.00% （24/32） and 93.75% （30/32），respectively.The total effective rate in the observation group was higher than that in the control group （χ2=4.273，P<0.05）.There was no significant difference in the incidence of postoperative anus bearing down，urinary retention，hematochezia，anal exhaust incontinence and anal fissure between the two groups （P>0.05）.Conclusion PPH combined with Block neoplasty in the treatment of OOC caused by rectocele can effectively improve constipation symptoms and anal pain in female patients.
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更新日期/Last Update:
2019-02-05