The Clinical Treatment Contrast Between Procedure For Prolapse And Hemorrhoids And Rectal Mucosa Columnar Ligation For Outlet Obstruction Constipation

Objective : To compare procedure for prolapse and hemorrhoids and rectal mucosa columnar ligation for outlet obstruction constipation cause by rectal prolapse near and long-term effects. Methods: Select October 2011-October 2012, the First Affiliated Hospital of Xinjiang Medical University, underwent surgery outlet obstruction constipation in patients 260 cases, of which the procedure for prolapse and hemorrhoids(PPH) 130 patients(study group), traditional rectal mucosa columnar ligation 130 cases(control group). Compare two surgical cure rate, operation time, postoperative 24 h pain scores, efficacy and postoperative recovery time, preoperative and postoperative defecation time, preoperative and postoperative anorectal manometry and other regular follow-up one month, 3 months, 6 months, 12 months, the case of long-term effects of defecation scores. Results: The cure rate of the study group was 83.85%(109/130), the cure rate of the control group was 73.08%(95/130), the difference was statistically significant(P <0.05), the study group operative time, postoperative 24 h pain score,recovery time than the control group, the difference was statistically significant(P <0.05).Study Group defecation time was significantly better than the preoperative defecation time,the difference was statistically significant(P <0.05), the study group postoperative anal diastolic pressure, anal maximum systolic blood pressure, anal resting pressure, rectal resting pressure preoperative difference was not statistically significant(P> 0.05), the control group was significantly better than the preoperative defecation time, the difference was statistically significant(P <0.05), the control of postoperative anal canal diastolic blood pressure, anal canal maximum diastolic blood pressure, anal canal resting pressure were different with preoperative and the difference was statistically significant(P <0.05), the control of postoperative rectal resting pressure and preoperative no statistically significant difference(P > 0.05), and the regular follow-up after operation,1 month, 3months, the study group and the control group was not statistically significant difference defecation(P> 0.05), 6 months, 12 months of the study group and the control group was statistically significant difference defecation(P <0.05). Conclusion: PPH surgery of outlet obstruction constipation caused by pralapseofrectalmucosa is superior to traditional rectal mucosa columnar joint surgery at the effect on the treatment of surgery and in the recent and long time curative effect,more can effectively improve constipation and improve patient quality of life,should be a perfer treatment for outlet obstruction constipation caused by prolapseofrectalmucosa.