Clinical treatment observation of procedure for prolapse and hemorrhoids combined with transrectal Block for rectocele
10.3760/cma.j.issn.1673-4904.2014.32.017
- VernacularTitle:痔上黏膜环切术联合经直肠直肠前突闭式修补术治疗直肠前突临床疗效观察
- Author:
Xionghua XIANG
;
Yanping QING
;
Weiming WU
;
Haibo JIN
;
Zhangyu CAI
;
Kangwei ZHANG
- Publication Type:Journal Article
- Keywords:
Rectocele;
Procedure for prolapse and hemorrhoids;
Transrectal Block for rectocele
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(32):44-46
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical treatment of procedure for prolapse and hemorrhoids (PPH) combined with transrectal Block for rectocele (Block procedure).Methods Eighty-six hospitalized patients with rectocele were divided into two groups according the odevity of month:A group (odd month,PPH combined with Block procedure group,49 cases) and B group [even month,stapled trans-anal rectal resection (STARR),37 cases].The treatment conditions were compared between two groups.Results There were no statistical differences in degree of postoperative pain,healing rate between two groups (P ＞ 0.05).The operating time,postoperative hemorrhage rate,cost of hospitalization,patient satisfaction score and rectocele depth after 1 year in A group were significantly better than those in B group [(25.5 ± 2.8) min vs.(36.8 ± 4.6) rmin,2.0％(1/49) vs.13.5％(5/37),(7 359 ± 580) yuan vs.(10 928 ± 610) yuan,(9.1 ± 0.8) scores vs.(8.2 ± 0.7) scores,(5.02 ± 0.71) mm vs.(9.73 ± 1.31) mm],there were statistical differences (P ＜ 0.05).Conclusions PPH combined with Block procedure for rectocele had a significant clinical effect,it is a safe new method with small surgical trauma,a better choice to prevent the recurrence of rectocele,reduces the patients economic pressure obviously.So it is worth to clinical promotion.
