Clinical Application Research Of Improved STARR In The Treatment Of Rectocele

Objective:Aiming to explore the clinical application effect of improvedSTARR in the treatment of patients with rectocele.Methods:Selected from colorectal surgery anus during October2012to June2014accord with standard of study of173patients with rectocele, dividedinto the treatment group (90cases) and control group (83cases),treatment group improved STARR line, the control line mucosal muscleflap method (Khubchandani repair method), hospital and outpatientfollow-up, two groups of surgical patients in postoperative1week(operation time, intraoperative blood loss, incidence of postoperativeurine retention, postoperative hematochezia, postoperative anal painobviously time, postoperative ODS rating and hospitalization days) of theobservation and evaluation of postoperative1month respectively and theclinical curative effect of3months. Statistical analysis of differencebetween two groups of operation comparison program.Results:Elected to the clinical study of173patients with rectocele weresuccessfully completed the above two groups of operation, postoperative1week in the follow-up, the treatment group (improved STARR) inoperation time (15.1±2.1min), intraoperative blood loss (10.8±2.5ml),the incidence of postoperative urinary retention (8.9%), the incidence of postoperative hematochezia (13.3%), postoperative anal pain obviouslytime (1.1±0.3d), the degree of postoperative clinical symptoms improved(ODS score2.2±0.6) and hospitalization days (6.2±0.7d), and otherindicators of recent observations than the control group (mucosal muscleflap method-Khubchandani repair method) of the operation time(17.9±2.4min), intraoperative blood loss (19.6±3.1ml), the incidence ofpostoperative urinary retention (20.5%), the incidence of postoperativehematochezia (27.7%), postoperative anal pain obviously time (2.8±0.5d), the degree of postoperative clinical symptoms improved (ODS score4.1±0.5) and hospitalization days (7.8±0.6d), and other indicators resultshave obvious advantages, P <0.05, with statistical significance. Inaddition, the two group1month and3months after surgery methodsevaluate the clinical efficacy of (evaluation standard set by the referenceto the surgery of Chinese medical association branch of anorectal surgerygroup the tentative standard of diagnosis and treatment of constipation)results as shown in table3.3. After statistics analysis, the treatment groupof patients on long-term clinical efficacy evaluation results than thecontrol group there are clear advantages, P <0.05, statistically difference.Conclusion:1、The study of statistical analysis results show that the clinicalapplication effect of improved STARR in the treatment of Rectocele issuperior to the mucosal muscle flap method (Khubchandani repairmethod), at the same time also accord with literature reports aboutstandard STARR compared with other traditional surgical method ownsignificant advantages, has good curative effect, little trauma, lesscomplications and quick recovery clinical advantages.2、compared with the standard STARR, improved STARR with new windows:(1) to "one stitch" precise positioning, the rectocele waspositioned more accurate.(2) using only a handful of PPH stapling,reduce the cost of treatment, save medical resources.（3） It takes only asingle resection and anastomosis and the depth of the removal of morethan submucosa and muscularis and are not as straight bowel wall layer.Less traumatic of surgery.For the treatment of this clinical study shows that improved STARRin the treatment of rectocele has good clinical effect.