Clinical Observation Of Double Procedure For Prolapse And Hemorrhoids Operation In The Treatment Of Rectocele

Objective:To evaluate the clinical efficacy of double procedure for prolapse and hemorrhoids operation in the treatment of rectocele.Methods:The cases were selected from 2014 to 2017,and the patients with moderate and severe rectal processes were treated in the anorectal of The First Hospital Affiliated to The University of South China.The random number table was randomly divided into observation group and control group,with 24 cases in each group and 48 cases in total.The observation group was treated with double PPH surgery group,and the control group was treated with block’s repair procedure for rectocele.There was no significant difference between the two groups in the course of disease,age,protuberance depth and ODS score.The differences in operation time,hospitalization time,the ODS score of 2 weeks and 6 months after surgery,the prerectal depth of defecography,postoperative complication,and the overall therapeutic effect were compared between the two groups.Results:1.The operative time in the observation group was shorter than that in the control group.(P<0.05).There was no significant difference in hospitalization time between the observation group and the control group(P>0.05).Compared with traditional Block operation,the double PPH surgery group can effectively reduce the operation time.But there was no significant difference in length of hospital stay.It is shown that the double PPH operation has the advantages of simple operation compared with Block operation.2.There was no significant difference in ODS score and defecography in the two weeks after operation between the two groups(P>0.05).But the ODS score of 6 months after surgery was significantly lower than that in the control group(P<0.05);6 months after the operation,the defecography was significantly lower than that in the control group(P < 0.05)..Two weeks after the operation,there was no significant difference between the two groups(P>0.05).But at the six months after surgery,the observation group curative effect significantly better than the control group(P<0.05).It is indicated that there is no significant difference between double PPH operation and Block operation in the near future,but in terms of long-term efficacy,double PPH is significantly better than Block operation.The recurrence rate of double PPH was significantly lower than that of Block operation.Comparison of surgical complications between the two groups.The results showed that There was no significant difference in postoperative complications,which include postoperative complications included hemorrhage,wound infection,anastomotic stenosis,rectal vaginal fistula and anal incontinence,between the observation group and the control group(P > 0.05).This indicates that double PPH surgery has the advantage of high safety.3.We compared the ODS score and the change of the anterior process depth of the two groups after 2 weeks and 6 months after surgery.The results showed that the ODS score and the anterior protrusion depth of the observation group and the control group were significantly higher than 2 weeks after the operation(P<0.05).The ODS scores and prerectal protuberance were used as an effective indicator to evaluate the rectal process.There was an upward trend in the two groups after surgery,indicating that both groups had a certain recurrence rate in terms of long-term efficacy.Conclusion : Double PPH is an effective treatment for rectal protuberance.It has the advantages of definite curative effect,simple operation,short operation time,high cure rate,high security and relatively low recurrence rate.