Clinical efficacy of procedure for prolapse and hemorrhoids for treatment of rectal mucosa prolapse
10.11659/jjssx.07E016008
- VernacularTitle:痔上黏膜环形切除钉合术治疗直肠黏膜脱垂
- Author:
Ling REN
;
Guangzhe ZHANG
;
Guanglie LING
- Keywords:
procedure for prolapse and hemorrhoids;
anastomat;
rectal mucosa prolapse;
mucosal plication technique
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(1):29-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of procedure for prolapse and hemorrhoids ( PPH) for treatment of rectal mucosa prolapse.Methods The 100 patients who suffered from rectal mucosa prolapse and were planning to take surgical treatment for the first time in our hospital from June 2013 to June 2015 were randomly divided into the treatment group and the control group .Patients in the treatment group(n=50) underwent PPH while patients in the control group (n=50) underwent traditional simplified mucosal plication technique .To observe the therapeutic effect of the two groups ,the average operation time ,average length of stay in hospital ,postoperative pain within 72 hours,postoperative anal function and postoperative complications of the two groups .Results There was no significant difference in the over-all treatment effect between the two groups(P>0.05).The average operation time, average length of stay in hospital,postoperative pain with-in 72 hours and postoperative anal function of the treatment group were lower than those of the control group ,and the differences were significant (P<0.05).Bleeding and anal bearing-down occurred much less in the treatment group compared with the control group ,and the differences were statistically significant(P<0.05).But there was no significant difference in postoperative complications such as recurrence ,rectal steno-sis and anal incontinence (P>0.05).Conclusion Compare to the traditional simplified mucosal plication technique ,PPH technique has more advantages such as shorter operation time ,less anguish of patients,less complication,shorter hospitalization time,and higher security, which indicates PPH could become the preferred method for treatment of rectal mucosa prolapse .
