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Clinical Study On The Treatment Of Severe And Severe Rectal Prolapse In Patients With Rectal Mucosal Sutured Low - Cut

Posted on:2015-06-07Degree:MasterType:Thesis
Country:ChinaCandidate:C M LuoFull Text:PDF
GTID:2134330467980703Subject:Traditional surgery
Abstract/Summary:PDF Full Text Request
Objective:This topic through the research method of the single blind, randomized, controlled observation rectal mucosa high seam in low fibrotomy treatment, severe rectum prolapse of defecation dysfunction clinical curative effect, for clinical anatomy changes to explore a more accord with the disease, curative effect is more exact operation method, providing a reference for clinical treatment of the disease in the future.Methods:To chengdu anorectal hospital from January2012-December2012hospital in bowel dysfunction in patients with clinical manifestations, the specialized subject and defecation angiography revealed clear, severe rectal prolapse in120patients as the research object, according to patients defecation angiography revealed the order list serial Number is001-120, using SPSS19.0software of the Random Number Seed program for A, B two groups at Random, each group of60people, group A (hereinafter referred to as the "group") USES the rectal mucosa high seam tied for the treatment of low cut ring, group B (hereinafter referred to as the control group) using rectal mucosa circumcision anastomosis treatment. For A, B two groups of the safety, compliance, curative effect of preoperative and postoperative sexual prospectie clinical observation, and record the relevant evaluation index (constipation curative effect score, defecate difficulty, excessive force defecation, abdominal distension, excrement characters, defecation time, drop, is endless, and bilge feeling, defecate frequency, postoperative complications, safety evaluation, constipation curative effect index, etc.), SPSS19.0statistical software was used to analysis and statistics, with P<0.05as significant statistical significance.Outcome:Both groups of gender, age difference has no statistical significance (P>0.05), there was no statistically significant difference preoperative clinical symptom scores (P>0.05), preoperative defecation imaging results there was no statistically significant difference (P>0.05); Two groups of postoperative clinical symptom scores were compared with preoperative clinical symptom score difference was statistically difference (P<0.05); Two groups of postoperative1month,3months after operation, postoperative period of6months and1year after the same clinical symptom scores compare differences were statistically significant (P<0.05).Conclusion:Rectal mucosa high seam tied low fibrotomy for medium and severe type of rectum prolapse treatment of bowel disorders and rectal mucosa circumcision anastomosis for medium and severe type of defecation dysfunction rectum prolapse treatment all have certain effect, but compared to the latter, the former can at the same time for different parts of the rectum prolapse, more in line with medium and severe type of rectum prolapse defecation dysfunction anatomy changes, the long-term curative effect more apparent, has good clinical application value and high promotion value.
Keywords/Search Tags:Rectal prolapse, Bowel disorders, Circumcision anastomosis, Joint firmfixation
PDF Full Text Request
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