Objective To evaluate the safety and efficacy of procedure for prolapse and hemorrhoids (PPH) combined with Shaobei injection in treatment for obstructed defecation syndrome (ODS) caused by rectocele.
Methods Seventy-two female patients with rectocele from December 2009 to January 2011 in this hospital were divided into PPH combined with Shaobei injection group (36 cases) and only PPH group (36 cases). The Longo ODS score was performed on week one,month one,month three,and month six after operation,respectively;pain was evaluated, complications such as urine retention,postoperative bleeding,and anal function were observed;hospital stay and recovery work time were recorded in two groups.
Results All patients were followed up for 6 months,there were no significant differences in complications,hospital stay,and the Longo ODS score on week one and month one after operation between two groups (P>0.05). But the Longo ODS score of the PPH combined with Shaobei injection group on month three and month six after operation were significantly lower than those of the only PPH group (P<0.05).
Conclusion PPH combined with Shaobei injection has a better efficacy as compared with only PPH,and at least as safe as only PPH.
Citation:
JIANG Tao,LI Chunyu,LIN Shusen,YUAN Peng,.. Clinical Observation of Procedure for Prolapse and Hemorrhoids Combined with Shaobei Injection in Treatment for Patients with Rectocele. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(8): 846-849. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
1. |
Nieminen K, Hiltunen KM, Laitinen J, et al. Transanal or vaginal approach to rectocele repair: a prospective, randomized pilot study[J]. Dis Colon Rectum, 2004, 47(10):1636-1642.
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2. |
中华医学会外科学分会肛肠外科学组. 便秘诊治暂行标准[J]. 中华医学杂志, 2000, 80(7):491-492.
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3. |
张有生, 李春雨. 实用肛肠外科学[M]. 北京:人民军医出版社, 2009:305-306.
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4. |
Longo A. Treatment of hemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device:a new procedure[C]. Procedings of the Sixth World Congress of Endoscopic Surgery, Rome:Italy, 1998:777-784.
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5. |
李春雨, 张有生. 实用肛门手术学[M]. 沈阳:辽宁科学技术出版社, 2005:122-125.
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6. |
Shalaby R, Desoky A. Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy[J]. Br J Surg, 2001, 88(8):1049-1053.
|
7. |
Jorge JM, Wexner SD. Etiology and management of fecal incontinence[J]. Dis Colon Rectum, 1993, 36(1):77-97.
|
8. |
李东冰, 谭竟范, 李华山, 等. 痔切除吻合器痔上黏膜环切术在脱垂性痔中的应用[J]. 中国普外基础与临床杂志, 2007, 14(1):91-92.
|
9. |
司徒光伟, 周珞华, 辜良刚, 等. 痔上黏膜环切除术1 077例回顾分析[J]. 中国实用外科杂志, 2010, 30(7):600-602.
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10. |
Altomare DF, Rinaldi M, Veglia A, et al. Combined perineal and endorectal repair of rectocele by circular stapler:a novel surgical technique[J]. Dis Colon Rectum, 2002, 45(11):1549-1552.
|
11. |
Petersen S, Hellmich G, Schuster A, et al. Stapled transanal rectal resection under laparoscopic surveillance for rectocele and concomitant enterocele[J]. Dis Colon Rectum, 2006, 49(5):685-689.
|
12. |
Leal VM, Regadas FS, Regadas SM, et al. Clinical and functional evaluation of patients with rectocele and mucosal prolapse treated with transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS)[J]. Tech Coloproctol, 2010, 14(4):329-335.
|
13. |
Madbouly KM, Abbas KS, Hussein AM. Disappointing long-term outcomes after stapled transanal rectal resection for obstructed defecation[J]. World J Surg, 2010, 34(9):2191-2196.
|
14. |
尹淑慧, 赵克, 侯庆香, 等. 吻合器经肛直肠切除术与经阴道手术治疗直肠前突的比较[J]. 中国普外基础与临床杂志, 2010, 17(2):129-132.
|
15. |
唐清珠, 子树明, 顾成义, 等. STARR手术治疗出口梗阻型便秘214例的临床分析[J]. 中华普外科手术学杂志(电子版), 2010, 4(3):281-287.
|
16. |
梁德森, 刘昶, 潘尚哈, 等. 吻合器直肠黏膜环形切除联合经直肠闭式修补术在直肠前突中的应用[J]. 中华普通外科杂志, 2004, 19(9):577-578.
|
17. |
李飞. PPH术加经会阴补片修补术治疗中重度直肠前突临床观察(附15例报告)[J]. 结直肠肛门外科, 2006, 12(5):284-286.
|
18. |
李家付. PPH术+直肠前壁加固治疗直肠前突的临床观察[J]. 齐齐哈尔医学院学报, 2009, 30(1):46-47.
|
19. |
胡良胜, 杨德群. PPH并肛门括约肌松解术治疗直肠前突的临床观察[J]. 湖北中医学院学报, 2006, 8(2):25-26.
|
20. |
赵发, 孔斌, 李红岩, 等. 吻合器痔上黏膜环切术加直肠前壁柱状缝合治疗中重度直肠前突50例临床观察[J]. 疑难病杂志, 2007, 6(8):478-480.
|
21. |
代述东, 陈朝辉, 武琳琳. PPH联合消痔灵液注射治疗直肠前突的临床研究[J]. 结直肠肛门外科, 2008, 14(4):265-266.
|
22. |
章勇. 注射消痔灵引起直肠狭窄一例[J]. 中华普通外科杂志, 2001, 16(6):367.
|
23. |
安阿玥, 王晏美, 范学顺, 等. 芍倍注射液治疗痔的临床疗效和病理学观察[J]. 中国临床医生杂志, 2007, 35(10):41-43.
|
24. |
李春雨, 聂敏, 林树森, 等. 吻合器痔上黏膜环切钉合术加中药芍倍注射治疗重度痔30例[J]. 中华胃肠外科杂志, 2009, 12(1):81.
|
25. |
王晏美, 安阿玥, 李辉, 等. 不全外剥内扎加芍倍注射液治疗环状混合痔[J]. 中日友好医院学报, 2007, 21(4):201-203.
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- 1. Nieminen K, Hiltunen KM, Laitinen J, et al. Transanal or vaginal approach to rectocele repair: a prospective, randomized pilot study[J]. Dis Colon Rectum, 2004, 47(10):1636-1642.
- 2. 中华医学会外科学分会肛肠外科学组. 便秘诊治暂行标准[J]. 中华医学杂志, 2000, 80(7):491-492.
- 3. 张有生, 李春雨. 实用肛肠外科学[M]. 北京:人民军医出版社, 2009:305-306.
- 4. Longo A. Treatment of hemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device:a new procedure[C]. Procedings of the Sixth World Congress of Endoscopic Surgery, Rome:Italy, 1998:777-784.
- 5. 李春雨, 张有生. 实用肛门手术学[M]. 沈阳:辽宁科学技术出版社, 2005:122-125.
- 6. Shalaby R, Desoky A. Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy[J]. Br J Surg, 2001, 88(8):1049-1053.
- 7. Jorge JM, Wexner SD. Etiology and management of fecal incontinence[J]. Dis Colon Rectum, 1993, 36(1):77-97.
- 8. 李东冰, 谭竟范, 李华山, 等. 痔切除吻合器痔上黏膜环切术在脱垂性痔中的应用[J]. 中国普外基础与临床杂志, 2007, 14(1):91-92.
- 9. 司徒光伟, 周珞华, 辜良刚, 等. 痔上黏膜环切除术1 077例回顾分析[J]. 中国实用外科杂志, 2010, 30(7):600-602.
- 10. Altomare DF, Rinaldi M, Veglia A, et al. Combined perineal and endorectal repair of rectocele by circular stapler:a novel surgical technique[J]. Dis Colon Rectum, 2002, 45(11):1549-1552.
- 11. Petersen S, Hellmich G, Schuster A, et al. Stapled transanal rectal resection under laparoscopic surveillance for rectocele and concomitant enterocele[J]. Dis Colon Rectum, 2006, 49(5):685-689.
- 12. Leal VM, Regadas FS, Regadas SM, et al. Clinical and functional evaluation of patients with rectocele and mucosal prolapse treated with transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS)[J]. Tech Coloproctol, 2010, 14(4):329-335.
- 13. Madbouly KM, Abbas KS, Hussein AM. Disappointing long-term outcomes after stapled transanal rectal resection for obstructed defecation[J]. World J Surg, 2010, 34(9):2191-2196.
- 14. 尹淑慧, 赵克, 侯庆香, 等. 吻合器经肛直肠切除术与经阴道手术治疗直肠前突的比较[J]. 中国普外基础与临床杂志, 2010, 17(2):129-132.
- 15. 唐清珠, 子树明, 顾成义, 等. STARR手术治疗出口梗阻型便秘214例的临床分析[J]. 中华普外科手术学杂志(电子版), 2010, 4(3):281-287.
- 16. 梁德森, 刘昶, 潘尚哈, 等. 吻合器直肠黏膜环形切除联合经直肠闭式修补术在直肠前突中的应用[J]. 中华普通外科杂志, 2004, 19(9):577-578.
- 17. 李飞. PPH术加经会阴补片修补术治疗中重度直肠前突临床观察(附15例报告)[J]. 结直肠肛门外科, 2006, 12(5):284-286.
- 18. 李家付. PPH术+直肠前壁加固治疗直肠前突的临床观察[J]. 齐齐哈尔医学院学报, 2009, 30(1):46-47.
- 19. 胡良胜, 杨德群. PPH并肛门括约肌松解术治疗直肠前突的临床观察[J]. 湖北中医学院学报, 2006, 8(2):25-26.
- 20. 赵发, 孔斌, 李红岩, 等. 吻合器痔上黏膜环切术加直肠前壁柱状缝合治疗中重度直肠前突50例临床观察[J]. 疑难病杂志, 2007, 6(8):478-480.
- 21. 代述东, 陈朝辉, 武琳琳. PPH联合消痔灵液注射治疗直肠前突的临床研究[J]. 结直肠肛门外科, 2008, 14(4):265-266.
- 22. 章勇. 注射消痔灵引起直肠狭窄一例[J]. 中华普通外科杂志, 2001, 16(6):367.
- 23. 安阿玥, 王晏美, 范学顺, 等. 芍倍注射液治疗痔的临床疗效和病理学观察[J]. 中国临床医生杂志, 2007, 35(10):41-43.
- 24. 李春雨, 聂敏, 林树森, 等. 吻合器痔上黏膜环切钉合术加中药芍倍注射治疗重度痔30例[J]. 中华胃肠外科杂志, 2009, 12(1):81.
- 25. 王晏美, 安阿玥, 李辉, 等. 不全外剥内扎加芍倍注射液治疗环状混合痔[J]. 中日友好医院学报, 2007, 21(4):201-203.