摘要目的 探讨经肛门吻合器直肠部分切除术治疗直肠前突的临床效果.方法 选择长治市中医医院2012年1月至2018年1月诊治的直肠前突患者90例,按手术方式分为对照组45例、观察组45例,对照组采用经直肠闭式修补术治疗,观察组采取用肛门吻合器直肠部分切除术治疗,比较两组手术疗效、术后并发症发生率、复发率、术后疼痛程度、住院时间及治疗费用.结果 两组总有效率均为100.0%;观察组并发症发生率为2.2%(1／45),低于对照组的17.8%(8／45)(χ2 ＝4.444,P＝0.035);观察组复发率为0(0／45),低于对照组的13.3%(6／45)(χ2 ＝4.464,P＝0.035);观察组住院时间短于对照组[(7.01 ±2.06)d比(11.31 ± 2.42)d]、治疗费用高于对照组[(0.836 ±0.164)万元比(0.605 ±0.136)万元]、术后疼痛评分低于对照组[(4.24 ±1.33)分比(6.45 ±1.17)分](t＝9.076、7.273、8.369,均P＜0.001).结论 经肛门吻合器直肠部分切除术治疗直肠前突的效果显著,且并发症少、复发率低、术后疼痛程度轻,但治疗费用较高.

abstractsObjective To investigate the clinical effect of transanal stapler partial rectal resection for rectocele.Methods From January 2012 to January 2018,90 patients with rectocele treated in Changzhi Traditional Chinese Medicine Hospital were divided into control group (45 cases) and observation group (45 cases) according to the operation method.The control group was treated with closed transrectal repair ,while the observation group was treated with partial rectal resection with anal stapler.The operative effect ,incidence of postoperative complications , recurrence rate,degree of pain after operation ,length of hospital stay and cost of treatment were compared between the two groups.Results The total effective rate of the two groups was 100.0%.The incidence of complications in the observation group was 2.2%(1／45),which was lower than that in the control group [17.8%(8／45)] (χ2 ＝4.444, P＝0.035).The recurrence rate in the observation group was 0(0／45),which was lower than that in the control group [13.3%(6／45)] (χ2 ＝4.464,P＝0.035).The hospitalization time in the observation group was shorter than that in the control group[(7.01 ±2.06)d vs.(11.31 ±2.42)d].Compared with the control group ,the treatment cost of the observation group was higher[(0.836 ±0.164)×104CNY vs.(0.605 ±0.136)×104CNY],and the post-operative pain score was lower [(4.24 ±1.33) vs.(6.45 ±1.17)] ( t＝9.076,7.273,8.369,all P＜0.001).Conclusion Transanal stapler partial rectal resection is effective in the treatment of rectocele , with less complications, lower recurrence rate and less pain after operation ,but the cost of treatment is higher.