Clinical Analysis Of Modified STARR In The Treatment Of Rectocele With Internal Rectal Prolapse

Objective: To analyze the effect of modified STARR treatment on patients with rectocele and internal rectal prolapse.Methods: Selected patients who were diagnosed with RC and IRP in the Gastrointestinal Surgery Department of the First Affiliated Hospital of Bengbu Medical College from April 2019 to June 2020.After rigorous screening,80 female patients who met the test criteria were included as observation objects;they were divided into two groups randomly,each with 40 cases,group Ⅰ(modified STARR surgery)and group Ⅱ(STARR surgery).Through the comparison of the average age of the two groups of cases,the comparison of occupational distribution,the comparison of the average preoperative defecography score,and the comparison of the average preoperative clinical symptom score,it is determined that the two groups of cases are comparable in experimental observation.The general conditions,complications,clinical efficacy and obstructive defecation syndrome(ODS)scores were compared between the two groups.Results:(1)There was no significant difference in intraoperative blood loss between the two groups(P>0.05);the hospitalization cost,operation time,and length of stay in were lower than those in group Ⅱ,and the difference was statistically significant(P<0.05).(2)The comparison of RC and IRP defecography scores between two groups before operation was not statistically significant(P>0.05);there was no statistically significant difference in defecography scores between the two groups during the 6-month follow-up(P>0.05).(3)There was no statistical difference in the symptom scores between the two groups before the operation(P>0.05);there was no statistical difference in the symptom scores of two groups at 1month,3 months,and 6 months after operation.(P>0.05).(4)There was no statistically significant difference in surgical efficacy between two groups(P>0.05).(5)There was no significant difference between the ODS scores of group Ⅰ and group Ⅱ before operation(P>0.05);the ODS scores of group Ⅰ were better than group Ⅱ at 1month,3 months,and 6 months after operation,and the difference was statistically significant(P<0.05).(6)The postoperative complication rate of group Ⅰ was 7.5%,and that of group Ⅱ was 25.00%.There was a statistically significant difference between two groups(P<0.05).The analysis results showed that after the modified STARR operation,the incidence of anastomotic stenosis and urinary retention in group Ⅰ were lower than those of the STARR operation in group Ⅱ,and there was a significant difference in statistical comparison(P<0.05).Conclusions:(1)Modified STARR for patients with RC combined with IRP can shorten the operation time and reduce the patient’s hospitalization time and medical expenses;(2)Compared with traditional STARR surgery,modified STARR surgery has two advantages in the treatment of RC combined with IRP.The defecography score,clinical symptoms and curative effect of this type of operation can achieve relatively satisfactory results;(3)Compared with the traditional STARR operation,the modified STARR operation has less trauma,fewer postoperative complications,and can be prevent ODS from happening.