王伟一　赵亚冰

[摘要] 目的 探讨联合术式治疗直肠脱垂的临床效果，并对其治疗作用进行分析及评价。方法 回顾性分析2014年1—8月该院收治直肠脱垂患者共102例，随机分为观察组和对照组，各51例，对照组采用经腹直肠悬吊固定术治疗，观察组采用经腹、肛门联合术式方法治疗，比较两组患者的治疗效果并分析评价。 结果 对照组的治疗有效率为80.3%，观察组的治疗有效率为94.1%，两组比较差异有统计学意义（P<0.05）；观察组患者的住院天数为（11.57±3.54）d，对照组患者的住院天数为（21.61 ± 6.23）d，两组比较差异有统计学意义（P<0.05）；对照组患者术后并发症的发生率为33.3%，过程组患者术后并发症的发生率为13.7%，两组比较差异有统计学意义（P<0.05）。结论 经腹、肛门联合术式治疗直肠脱垂有效提高治愈率，缩短患者住院时间，减少患者的住院花销，同时也有利于减少患者术后并发症的发生，是值得临床推广的治疗直肠脱垂的手术的方法。

[关键词] 直肠脱垂；联合术式；临床疗效；对比

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）04（c）-0063-02

[Abstract] Objective To investigate the clinical effect of combined operation in the treatment of rectal prolapse， and analysis and evaluate its therapeutic effects. Methods 102 cases with rectal prolapse in our hospital from January to August 2014 were retrospectively analyzed， they were randomly divided into observation group and control group， with 51 cases in each group， the control group using abdominal rectal suspension fixation treatment， and the observation group adopted the combined abdome –anus surgery， then compared the treatment effect of patients of two groups. Results The effective rate of the treatment group was 80.3%， the effective rate of treatment in the observation group was 94.1%， the difference between two groups was statistically significant（P<0.05）； the days of hospitalization for patients in the treatment group was（21.61 + 6.23） d， the days of hospitalization for patients in the control group was （21.61 + 6.23） d， the difference between two groups was statistically significant（P<0.05）；the incidence of postoperative complications of the control group was 33.3%，the incidence of postoperative complications of the process group was 13.7%，the difference between two groups was statistically significant（P<0.05）. Conclusion Transabdominal， anal combined with surgical treatment of rectal prolapse is effective to improve the cure rate， shorten the hospitalization time， reduce the inpatient expenses， but also conducive to reduce postoperative complications， is worthy of clinical application methodsfor the treatment of rectal prolapse surgery.

[Key words] Rectal prolapse； Combined operation； Clinical effect； Comparison

直肠脱垂是肛管和直肠以及乙状结肠下端位置向下移而突出于肛门外的一种疾病，是肛肠科难治病之一[1]。直肠脱垂多见于儿童及老年人。该病的发病原因尚未完全清楚，大多老年人的肌肉松驰，女性生育过多或者分娩时出现会阴撕裂，幼儿的发育不全导致肛提肌和盆底筋膜发育不全，萎缩，使直肠异位。此外长期便秘、慢性腹泻以及前列腺肥大导致的排尿困难等均可导致直肠脱垂[2-3]。该研究就该院2014年1—8月该院收治的直肠脱垂患者102例的临床资料进行回顾性分析，通过比较采用经腹直肠悬吊固定术与经腹、肛门联合术式方法治疗联合术式治疗直肠脱垂的临床效果，评价联合术式的临床价值。具体内容如下。

1 资料与方法

1.1 一般资料

整群回顾性分析该院肛肠科收治的直肠脱垂患者的临床资料，共抽取102例，分为对照组和观察组，各51例，对照组为采用经腹直肠悬吊固定术治疗的患者，观察组为经腹、肛门联合术式方法治疗联合术式治疗的患者。……