中西医结合微创治疗出口梗阻型便秘181例

发布时间：2019-04-29 08:45

【摘要】：目的:探讨中西医结合治疗出口梗阻型便秘(FOOC)答疗效和途径。方法:对181例出口梗阻型便秘患者在术前已明确具体病因,行微创手术、硬化剂注射及使用肛管扩张器、口服六味安消胶囊等中西医结合手术治疗。结果:治愈179例,有效1例,无效1例。结论:对出口梗阻型便秘患者在术前行肛门直肠测压、排粪造影和胃肠通过时间测定,可以明确该型便秘的具体原因。将该型便秘分为两类:一是盆底松弛性(包括直肠内套叠或直肠粘膜脱垂、直肠前突、会阴下降综合征),二是盆底痉挛性(包括耻骨直肠肌综合征、内括约肌失弛缓症、盆底痉挛综合征)。中西医结合手术方式固定,疗效确切,创伤小,远期效果明显,其与单纯西医手术对照差异显著,P0.05。
[Abstract]:Objective: to explore the therapeutic effect and approach of combination of traditional Chinese and western medicine in the treatment of outlet obstructive constipation (FOOC). Methods: 181 patients with outlet obstructive constipation were treated by minimally invasive surgery, sclerosing agent injection, anal dilator and oral Liuwei Anxiao capsule. Results: 179 cases were cured, 1 case was effective and 1 case was ineffective. Conclusion: anorectal manometry, defecography and gastrointestinal transit time can be used to determine the specific causes of constipation in patients with outlet obstructive constipation before operation. This type of constipation is divided into two categories: pelvic floor relaxation (including intussusception or prolapse of rectal mucosa, rectal protrusion, perineal descent syndrome) and pelvic floor spasms (including pubic rectus syndrome, internal sphincter achalasia). Pelvic floor spasm syndrome) The curative effect is definite, the wound is small, the long-term effect is obvious, the difference between the traditional Chinese medicine and western medicine operation alone is significant (P 0.05).
【作者单位】：陕西省西安市中医医院附属肛肠病医院陕西省西安市中医医院附属肛肠病医院陕西省西安市中医医院附属肛肠病医院陕西省西安市中医医院附属肛肠病医院
【基金】：陕西省科技攻关课题2001K10-G9
【分类号】：R657.1

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