直肠内脱垂基于综合治疗下线形切除固定与环形切除疗效比较

发布时间：2018-11-18 21:50

【摘要】：目的:探讨直肠内脱垂基于综合治疗下线形切除固定与环形切除临床疗效比较,同时观察两种术式术后复查排粪造影的变化。方法:把60例患者随机分为试验组和对照组,分别给予“直肠内脱垂线形切除固定术+术后口服中药+功能锻炼”、“PPH(直肠内脱垂环形切除)术+术后口服中药+功能锻炼”治疗,总疗程为2月。分别比较两组治疗前后的有效率、治疗前后、治疗前与随访、治疗后与随访的症状评分,两组内治疗后、随访时的各个症状评分的比较。术后复查排粪造影。结果:治疗后试验组有效率为97%,对照组有效率为80%,两组在治疗前后、治疗前与随访的症状评分上均有显著差异P0.01;对照组治疗后和随访在症状评分上无差异P0.05;试验组治疗后和随访在症状评分上显著差异P0.01。对照组治疗后排粪造影无明显改变,而试验组基本能恢复原本的解剖结构。结论:试验组基本能恢复直肠原本的解剖结构,术后半年的显效率及治愈率明显高于对照组,并能改善患者的临床症状,恢复直肠的正常生理功能,因此可以作为直肠内脱垂的临床治疗方案。
[Abstract]:Objective: to compare the clinical efficacy of internal rectal prolapse with linear resection, fixation and circular resection, and to observe the changes of re-examination defecography after operation. Methods: 60 patients were randomly divided into experimental group and control group. "PPH (internal rectal prolapse ring resection) after oral Chinese medicine functional exercise" treatment, the total course of treatment for 2 months. The effective rate before and after treatment, the symptom scores before and after treatment, and after treatment were compared between the two groups. Post-operative defecography. Results: the effective rate was 97% in the experimental group and 80% in the control group after treatment. There was significant difference between the two groups in the scores of symptoms before and after treatment and follow-up (P0.01). In the control group, there was no difference in symptom score after treatment and follow-up (P 0.05), while in the test group, there was significant difference in symptom score after treatment and follow-up (P 0.01). The defecography in the control group had no obvious change after treatment, but the anatomic structure of the experimental group was basically restored. Conclusion: the experimental group can basically restore the original anatomical structure of the rectum, and the effective rate and cure rate of the experimental group are obviously higher than that of the control group half a year after operation, and can improve the clinical symptoms of the patients and restore the normal physiological function of the rectum. Therefore, it can be used as a clinical treatment for internal rectal prolapse.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.1

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