The Clinical Study Of Improved STARR In The Treatment Of Rectocele

Objective: To evaluate the curative effect,safety and clinical operability of improved STARR in the treatment of rectocele.Method: In this paper,112 cases of female patients with ODS caused by rectocele were screened in the anorectal department of Hebei Traditional Chinese Medicine Hospital;Among them,62 patients treated with improved STARR surgery were treated as observation group,and 50 cases of STARR operation were treated as control group.To obtain clinical data of these patients by intraoperative recording,postoperative rounding,changing fresh dressing for a wound and telephone or a visit again after leaving the hospital.These data include operation time,ODS scores,defecography,postoperative complications,etc.To evaluate the improved STARR by analyzing these clinical data with statistics.Results:1.Postoperative defecography showed that the observation group was4.50±0.67 mm,and the control group was 6.10±1.71 mm.The difference of postoperative defecography was statistically significant(P<0.05).2.The ODS scores of the observation group was 2.19±1.11 after operation,and the control group was 2.72±1.29.There were statistically significant differences in ODS scores between the two groups after operation(P<0.05).Six months after operation,the ODS scores of the observation group was 2.11±1.16,and the control group was 3.02±1.30.There were statistically significant differences in ODS scores between the two groups 6 months after operation(P<0.05).3.There were 51 cases of marked effect,11 cases of effect and none case of no efficacy in observation group.And the marked effect rate was 82.25%.In the control group,there were 33 cases of marked effect,17 cases of effectand none case of no efficacy.And the marked effect rate was 66.00%.There were statistically significant differences in the marked effect rate between the two groups after operation(P<0.05).Six months after operation,there were 51 cases of marked effect,11 cases of effect and none case of no efficacy in observation group.And the marked effect rate was 82.25%.In the control group,there were 30 cases of marked effect,20 cases of effect and none case of no efficacy,and the marked effect rate was 60.00%.There were statistically significant differences in the marked effect rate between the two groups 6months after operation(P<0.05).4.The operation time of the observation group was 34.39±5.11 min,and the time was 30.36±3.25 min in the control group.The difference in operation time between the two groups was statistically significant(P<0.05).5.There were 10 cases of uroschesis and 30 cases of tenesmus after operation in the observation group,and 7 cases of uroschesis and 24 cases of tenesmus after operation in the control group.There was no pulsatile bleeding,incisional infection,rectal stenosis and anal incontinence in both groups.The incidence of postoperative complications was not statistically significant between two groups(Pu >0.05,Pt >0.05).Conclusion: The recent and long-term effects of improved STARR are better than STARR for the treatment of rectocele.Improved STARR not only strengthens the anterior wall of the rectum but also reduces the impact of feces on the anterior wall of the rectum during defecation,and it is beneficial to the long-term efficacy.The imprved STARR does not increase postoperative complications.At the same time,it is easy to operate and apply.