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阴道修补加直肠硬化剂注射术治疗直肠前突的临床研究
【作者】 李燕；
【作者基本信息】 成都中医药大学 ， 中医外科， 2008， 硕士
【摘要】 目的:观察和评价“阴道修补加直肠硬化剂注射术”治疗直肠前突的临床疗效。方法:将确诊的60例直肠前突病人随机分成试验组和对照组,且两组病例数相等,其中试验组30例采用“阴道修补加直肠硬化剂注射术”,对照组30例采用“直肠粘膜间断缝合加硬化剂注射术”。观察比较两组病例的近远期疗效、手术时间、术中术后出血、术后肛门疼痛及坠胀、术后感染、术后创面愈合时间。结果:治疗后两组患者症状评分均较治疗前降低,两组近期疗效、术后出血、术后肛门坠胀、术后感染相比无统计学差异(P＞0.05),在手术时间、术中出血、术后肛门疼痛、术后创面愈合时间两组间有统计学差异(P＜0.05),且对照组优于试验组,但试验组的远期疗效优于对照组,有统计学差异(P＜0.05)。结论:“阴道修补加直肠硬化剂注射术”与“直肠粘膜间断缝合加硬化剂注射术”相比,具有疗效稳定、远期疗效好等优点。
【Abstract】 Objective:To observe and evaluate the clinical efficacy of the therapeutics to rectocele by transvaginal incision and repair in addition to Xiaozhiling Injection in rectal anterior wall.Methods:A randomized study was made in 60 patients,the study group(30cases) received the treatment of transvaginal incision and repair in addition to Xiaozhiling Injection in rectal anterior wall,the control group(30cases) with Discontinuous stylolitic suture with sclerosing agent injection.Study the short and long term therapeutic effect,operative time, hemorrhage during the operative process and post-operation,sensation of pain and tenesmus in the anus,postoperative inflammation and heal time of the raw surface of the two groups.Results:Postoperative symptomatic scores were lower than those of pro-operation.The short term therapeutic effect、hemorrhage after the operation、sensation of tenesmus、postoperative inflammation in the two groups had no statistic differences(P＞0.05).on the contrary,operative time、hemorrhage during the operative process、sensation of pain in the anus、heal time of the raw surface had statistic differences(P＜0.05),and the control group was better.but the long term therapeutic effect of the study group was much better than the control group(P＜0.05).Conclusion:The long term therapeutic effect of the study group,to rectocele,was more stable and utility than the control group.