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RPH套扎加硬化注射治疗直肠前突的临床研究
【作者】 杨栋；
【导师】 贺平；
【作者基本信息】 成都中医药大学 ， 中医外科学， 2008， 硕士
【摘要】 目的:观察和评价RPH套扎加硬化注射法治疗直肠前突的临床疗效。方法:将60例中度及重度的直肠前突患者随机分成2组,其中试验组30例,对照组30例。试验组行RPH套扎加硬化注射法治疗,对照组行经阴道切开修补术。观察两组病例的治愈率、术中出血、术后出血、术后疼痛、术后肛门坠胀、术后感染、术后创面愈合时间并随访术后3个月的复发情况,应用统计学软件SPSS13.0对结果进行统计学分析。结果:两组患者治疗后症状评分较治疗前降低,两组治疗效果相比无统计学差异。但试验组在术中出血、术后疼痛、术后创面愈合时间等方面优于对照组,两组比较有统计学意义(P＜0.05)。两组在术后出血,术后坠胀、术后感染方面差异无统计学意义(P＞0.05)。结论:RPH套扎加硬化注射法是一种治疗直肠前突的简便有效的方法,具有操作简便、出血少、患者痛苦小、感染率低、疗程短等优点。
【Abstract】 Objective: To observe and assess the therapeutic effect of rectocele with RPH and Sclerotherapy.Methods: The 60 cases of rectocele were allocated randomized to the study group and the control group. The study group(30cases) received RPH and Sclerotherapy and the control group(30cases) received the operation of transvaginal incision and repair. Observe the bleeding rate, the volume of blood loss in operation and postoperative, the postoperative pain and infection,the time of the healing and the relapse rate in three months.The relative results were calculated statistically with SPSS13.0 software. Statistically significance was accepted as the P value less than 0.05.Results: Scores on symptom in the study group and the control group waslower than before the treatment. The treatment effect was similar in the two groups. The study group had significant less operative bleeding、postoperative pain and the time of healing than the control group (P<0.05) . There were no difference between the two groups in the volume of blood loss in postoperative,postoperative infection (P>0.05) .Conclusion: RPH and Sclerotherapy is a more convenient and active therapeutics to rectocele.