Clinical observation of perineal rectosigmoidectomy for rectal prolapse
10.3760/cma.j.issn.1008-6706.2019.19.013
- VernacularTitle: 经会阴直肠乙状结肠部分切除术治疗直肠脱垂的临床效果观察
- Author:
Zhengming SONG
1
;
Qinghua YANG
;
Haiyuan LIU
;
Yuandong ZHU
;
Chengdong LU
Author Information
1. Department of Anus & Intestine Surgery, Yiwu Central Hospital, Yiwu, Zhejiang 322000, China
- Publication Type:Journal Article
- Keywords:
Rectal prolapse;
Colectomy;
Treatment outcome;
Constipation;
Anal incontinence;
Rectal mucosal alignment ligation;
Perirectal injection;
Anal annular contraction
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(19):2362-2365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical observation of rectal prolapse by partial perineal rectal sigmoidectomy.
Methods:Sixty patients with rectal prolapse who met the diagnostic criteria of rectal prolapse in Yiwu Central Hospital from April 2013 to June 2015 were selected as the research subjects.They were divided into two groups according to random number table, with 30 cases in each group.The observation group used Altemeier, and the control group underwent triple surgery (rectal mucosal ligation, periorbital injection, and anal ring retraction). The total effective rate after surgery was compared and analyzed.
Results:The operation of the two groups was successfully completed.The total effective rate of the observation group was 96.67%, which was significantly higher than 80.00% of the control group, the difference was statistically significant(χ2=5.856, P=0.048). The Wexner constipation score of the observation group was (1.4±1.6)points, which was significantly lower than that of the control group[(3.2±2.0)points, t=3.849, P<0.05]. The Wexner anal incontinence score of the observation group after 24 months was (2.9±1.8)points, which was significantly lower than that of the control group [(4.4±2.7)points, t=2.532, P<0.05]. The proportions of anastomotic bleeding, pelvic swelling and perianal eczema in the observation group were 0.00%, 0.00% and 3.33%, respectively, which were significantly lower than those in the control group(20.00%, 23.33% and 30.00%, χ2=4.630, 5.822, 7.680, all P<0.05).
Conclusion:Altemeier can significantly improve the quality of life of patients, with a high cure rate and good clinical results.
