Clinical Study Of Treatment Of Complete Rectal Prolapse In Three-dimensional Technique Through The Anus

Objective: To observe and evaluate the clinical efficacy of three-dimensional surgical Transanal treatment of complete rectal prolapsed.Methods: Outpatient and inpatient surgeries on50patients having completerectal prolapse with anal sphincter relaxation were screened. They wereperformed in Anorectal Department, TCM Hospital attached to Hebei MedicalUniversity between February2009and February2011. Of all the patients,21were males and29females; the youngest was18years old, the oldest was74;28were cases of Ⅱdegree prolapsed,22were with III degree of prolapsed.The durations ranged from six months to15years. Of the50cases,0functioned well before the treatment of anal sphincter,31with poor sphincterfunction and19showed without sphincter function. All patients wereadministered with point-like rectal mucosa suture, PPH circumcision, doubleinjection and the anus banding treatment, postoperative routinely givenantibiotics and hemostatic static processing. The efficacy of the two groups ofpatients, the main symptoms and bowel movement, as well as theimprovement, postoperative pain, dysuria, fever, adverse reactions andfollow-up1year after recurrence, was observed and recorded, and applicationof statistical software SPSS13.0statistical analysis of the results wasperformed.Results:147cases in50patients were cured,3were improved, and0was valid withthe cure rate of94%and100%effective rate.2Symptom scores of patients before treatment and30days after treatmentwas analyzed by paired t-test which showed that the difference wasstatistically significant with t=18.96, p=0.000<0.01. It showed that thethree-dimensional technique can significantly improve patients' preoperative symptoms.3As for the treatment of anal sphincter function before and after treatment bythe Mann-Whitney U test, there was a significant difference, Z=-7.003p=0.000<0.01.4Patients before treatment and after treatment with30days of defecation time,by the paired t-test, both had significant difference, t=7.10, p=0.000<0.01.The three-dimensional surgery type could significantly improve patients'defecation situations, effectively shortening the time of the patients' bowelmovement.540cases in50patients had no pain or slight pain and no treatment wasneeded.9had no significant painful expression, so oral ordinary painkillerscould work; only one with intense pain was relieved by intramuscularinjection of50mg Demerol;39had normal body temperature of,11absorbedheat, and body temperature ranged from37to38.5°C. Without treatment allwent back to normal state within3days;43patients had normal micturition.5got normal urination by hot compressing the lower abdomen or intramuscularinjection of new Sri Lanka. Only two elderly male patients with inability tourinate became normal after3days after being given the reservationscatheterization.6The average length of stay was13.24days. No allergic reactions andpostoperative infection, bleeding, anastomotic leakage occurred.7All patients after discharge from hospital were followed up for1year. Norecurrence occurred, and all patients' symptoms were significantly improved.Conclusion:1The three-dimensional technique can effectively improve the clinicalsymptoms of complete rectal prolapse in patients with prolapse, fecalincontinence, anal wet.2Three-dimensional technique can significantly improve the patients' analsphincter function.3Three-dimensional surgical treatment of complete rectal prolapse had thefeature of low recurrence rate. 4Three-dimensional had a low incidence of voiding disorders, fever and othercomplications.5The three-dimensional technique is a safe, reliable, and less painful methodof curative treatment of complete rectal prolapsed which is worthy of clinicalspreading.