改良STARR术治疗中、重度直肠前突的临床研究*

    王爱磊1陆庆革1刘宇1李小海1刘越军1谭欣2

    (1 唐山市中医医院河北唐山063000；2 唐山市曹妃甸区医院外科)

    [摘要]目的对治疗中、重度直肠前突的三种不同手术方式进行比较和评价，为中重度直肠前突手术方式的选择提供依据。方法将120例中、重度直肠前突患者随机分成三组，A组(40例)采用改良STARR手术，B组(40例)采用常规STARR手术，C组(40例)采用经阴道切开修补术。分别观察分析三组患者手术情况、术后并发症及临床疗效。结果A组在手术时间、术中出血、术后疼痛、术后坠胀、住院时间等方面优于C组。A组在术后坠胀、吻合口裂开等方面优于B组, A组在远期疗效方面优于B组及C组。结论改良STARR手术治疗中、重度直肠前突简便易行，术后并发症发生率低，近、远期疗效更佳。

    [关键词]直肠前突；便秘；改良STARR手术；治疗；对比

    基金项目：*河北省卫生厅计划课题编号：20130320

    [中图分类号]R574.62[文献标志码]A

    [收稿日期：2014-12-29]

    The clinical research of improved STARR to treat patients with moderate to severe rectocele

    Wang Ailei,Lu Qingge,Liu Yu, et al.(Department of Anorectal Surgery，Tang Shan Traditional Chinese Medical Hospital, Hebei 063000)

    Abstract[]Objective To compare and evaluate three different surgical methods for the treatment of moderate to severe rectocele, and to provide the basis for the moderate to severe rectocele surgery choices. Methods One hundred and twenty patients with moderate to severe rectocele were randomly divided into three groups. Group A (N=40) were performed the operation of improved STARR. Group B (N=40) were performed operation of the routine STARR. Group C (N=40) were performed the operation of transvaginal incision and neoplasty. The complications and clinical efficacywere compared. Results The group A had less operation time, operation bleeding, postoperative pain ......