硬化剂注射加肛门成形术治疗直肠脱垂的临床疗效观察

外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (4): 248-250.

硬化剂注射加肛门成形术治疗直肠脱垂的临床疗效观察

郭颂铭¹，刘文方²，童红斌¹

1.同济大学附属同济医院中医肛肠，上海 200065；
2.同济大学附属同济医院普外科，上海 200065

出版日期:2013-12-28 发布日期:2013-04-25
作者简介:郭颂铭(1967-),男,硕士,主任医师,研究肛肠疾病。

Clinical study on sclerotherapy and anoplasty in the treatment of rectal prolapse

GUO Song-Ming¹, LIU Wen-Huang², TONG Hong-Bin¹

1.Department of Traditional Chinese Medicine,Tongji Hospital of Tongji University,Shanghai 200065,China;
2.Division of Hepatobiliary,Tongji Hospital of Tongji University,Shanghai 200065,China

Online:2013-12-28 Published:2013-04-25

摘要/Abstract

摘要： 目的观察硬化剂注射加肛门成形术治疗直肠脱垂的临床疗效。方法将42 例Ⅱ、Ⅲ度完全性直肠脱垂随机分成治疗组(n=22)和对照组(n=20)。治疗组进行消痔灵注射治疗+肛门成形术，对照组单纯消痔灵注射治疗。结果治疗组术后12个月随访复发率明显低于对照组(P<0.05)，而术后当天、第4、第10天肛门发热、疼痛、肛门坠胀、排便情况、治愈率无差异。结论消痔灵硬化剂注射+肛门成形术是针对Ⅱ、Ⅲ度直肠脱垂的痛苦小、疗效确切的治疗方法。

关键词: 硬化注射, 肛门成形术, 直肠脱垂

Abstract: Objective To observe the effect of injection sclerotherapy+anoplasty in the treatment of rectal prolapse.Methods 42 cases of Ⅱ,Ⅲ degree of complete rectal prolapse were randomly divided into treatment group (n=22) and control group (n=20).Patients in treatment group were received Xiaozhiling injection and anoplasty,patients in control group were only treated by Xiaozhiling injection.Results After 12 months of follow-up recurrence rate in treatment group was significantly lower than the control group (P<0.05),while there was no significant difference in complication and cure rate.Conclusion Sclerosing injections+anoplasty are less pain and more effective therapy for Ⅱ,Ⅲ degree rectal prolapse

Key words: Sclerotherapy, Anorectoplasty, Rectal prolapse

中图分类号:

R657.1

郭颂铭，刘文方，童红斌. 硬化剂注射加肛门成形术治疗直肠脱垂的临床疗效观察[J]. 外科研究与新技术, 2013, 2(4): 248-250.

GUO Song-Ming, LIU Wen-Huang, TONG Hong-Bin. Clinical study on sclerotherapy and anoplasty in the treatment of rectal prolapse[J]. Surgical Research and New Technique, 2013, 2(4): 248-250.