2种术式治疗重度耻骨直肠肌综合征临床疗效观察

doi:10.3969/j.issn.1007-3205.2020.12.016

河北医科大学学报 ›› 2020, Vol. 41 ›› Issue (12): 1436-1438,1443.doi: 10.3969/j.issn.1007-3205.2020.12.016

2种术式治疗重度耻骨直肠肌综合征临床疗效观察

1.河北中医学院研究生学院，河北石家庄 050091;2.河北中医学院附属医院，河北省中医院肛肠三科，河北石家庄 050000

出版日期:2020-12-25 发布日期:2021-01-04
作者简介:刘娇(1992-),女,河北无极人,河北中医学院医学硕士研究生，从事中西医结合外科、肛肠疾病疾病诊治研究。
基金资助:
政府资助专科能力建设和专科带头人培养项目（2018133214）

Clinical effect of two kinds of operation on severe puborectalis syndrome

1.Graduate School of Hebei College of Traditional Chinese Medicine, Shijiazhuang 050091, China;
2.The Third Department of Anorectal, Hebei Traditional Chinese Medicine Hospital Affiliated to
Hebei College of Traditional Chinese Medicine, Shijiazhuang 050000, China

Online:2020-12-25 Published:2021-01-04

摘要/Abstract

摘要： 目的观察2种术式治疗重度耻骨直肠肌综合征的临床疗效。
方法将70例重度耻骨直肠肌综合征患者随机分为试验组和对照组，每组35例。试验组采用小切口耻骨直肠肌部分离断术式，对照组采用耻骨直肠肌挂线术式。观察比较2组总有效率、术后伤口愈合时间、术后疼痛、切口感染、肛门括约肌功能、再次手术情况。
结果 2种术式治疗重度耻骨直肠肌综合征临床疗效相当，总有效率分别为试验组97.14%，对照组94.29%，差异无统计学意义（P＞0.05）。但试验组在术后切口愈合时间、术后疼痛方面优于对照组（P＜0.05）。
结论小切口耻骨直肠肌部分离断术治疗重度耻骨直肠肌综合征具有疗程短，痛苦小的优点，值得推广。

关键词: 耻骨直肠肌综合征, 便秘

Abstract: Objective To observe the clinical effect of two kinds of operation on severe puborectalis syndrome.
Methods A total of 70 patients with severe puborectalis syndrome. Methods: Seventy patients were randomly divided into experimental group and control group, 35 cases in each group. In the experimental group, the puborectal muscle was partially severed through a small incision, and in the control group, the puborectal muscle was sutured. The total effective rate, wound healing time, postoperative pain, incision infection, anal sphincter function and reoperation were observed and compared between two groups.
Results The total effective rate of the two kinds of operation was 97.14% in the experimental group and 94.29% in the control group, respectively(P＞005). But the experimental group was better than the control group in the time of incision healing and postoperative pain(P＜005).
Conclusion The treatment of severe puborectal syndrome with partial puborectal myotomy with small incision has the advantages of short course and less pain, which is worth popularizing.

Key words: puborectalis syndrome, constipation, treatment outcome

刘娇, 吴士雄, 康雅超, 刘博, 刘满君. 2种术式治疗重度耻骨直肠肌综合征临床疗效观察[J]. 河北医科大学学报, 2020, 41(12): 1436-1438,1443.

LIU Jiao, WU Shi-xiong, KANG Ya-chao, LIU Bo, LIU Man-jun. Clinical effect of two kinds of operation on severe puborectalis syndrome[J]. Journal of Hebei Medical University, 2020, 41(12): 1436-1438,1443.

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2种术式治疗重度耻骨直肠肌综合征临床疗效观察

Clinical effect of two kinds of operation on severe puborectalis syndrome

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