【作者】 杨超；

【导师】 贺平；

【作者基本信息】 成都中医药大学 ， 中医外科学， 2011， 硕士

【摘要】 目的：观察和评价改良STARR手术治疗直肠前突的临床疗效及安全性。方法：将符合纳入标准的57例女性直肠前突患者随机分成两组,治疗组29例,对照组28例。治疗组行改良STARR手术治疗,对照组行STARR手术治疗。术前及术后1周、1月、3月、6月均进行ODS评分,两组间手术前后评分对比,并比较其术前及术后6个月排粪造影结果,观察其临床疗效,同时观察其术后并发症,评价其治疗效果及安全性。结果：患者治疗后ODS症状评分较治疗前显著降低,两组疗效对比无明显差异(P>0.05),且两种手术术后并发症都少,近期随访无复发。结论：改良STARR手术治疗直肠前突,是一种临床疗效确切、并发症少、安全可靠的新方法,同STARR手术相比,具有操作更简单,手术时间更短,费用更低,治疗内痔、直肠粘膜内脱等合并症更彻底等优点。更多还原

【Abstract】 Objective:To observe and judg the clinical efficacy and safety of the Improved STARR treatment on with obstructed defaecation syndrome caused by rectocele.Methods:The 57 patients met the inclusion criteria of women rectocele were randomly divided into two groups, treatment group,29 cases,28 patients in control group. STARR treatment group were improved surgical treatment, control group were STARR surgery. Preoperative and postoperative 1 week,1 month,3 months,6 months were carried out ODS score, score comparison between the two groups before and after surgery, and to compare their preoperative and postoperative 6 months defecography results, clinical efficacy, Postoperative complications were observed, to evaluate the therapeutic efficacy and safety.Results:ODS symptom scores after treatment than before treatment were significantly lower compared two groups no significant difference (P> 0.05), and two groups had fewer postoperative complications, the recent follow-up without recurrence.Conclusion:Improved STARR surgical treatment of rectoceleis a clinical efficacy, fewer complications, safe and reliable new method, with the STARR procedure, compared with more simple operation, a shorter operative time, lower cost, treatment of internal hemorrhoids, rectal mucosa More thoroughly in off the advantages of such complications.更多还原