摘要
目的:探讨直肠前突所致出口处梗阻型便秘的手术方式及治疗效果.方法:采用经直肠闭式Block术式和开放式Sehpayah术式修补和加强直肠前壁治疗直肠前突所致便秘45例.结果:45例中术后近期便秘症状完全消失43例(95.6%).38例获随访6个月~2a,痊愈21例,明显好转8例,好转4例,无效5例,总有效率86.8%.结论:对经非手术治疗无效的中、重度直肠前突所致便秘病人选择适当的手术治疗可获得良好的疗效.
<abstract>jective: To study the surgical management of outlet obstruction type constipation caused by rectoceles. Methods: The closed Block's mode and the open Sehapeyah's mode through rectum were employed to repair and intensify the anterior wall of rectum of 45 cases of rectoceles.Results:The symptoms of constipation in 43 of the 45 cases(95.6%) disappeared soon after operation.38 of the 45 cases were followed up for 6 monthes to 2 years,21 cases recovered,8 improved obviously,4 improved and 5 had no response.The total response rate was 86.8% .Conclusion:Patients suffeying from moderate or severe rectoceles and failing to respond to nonoperative treatment should resort to surgery.
出处
《解剖与临床》
2004年第3期162-163,共2页
Anatomy and Clinics