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吻合器经肛直肠切除术治疗出口梗阻型便秘的疗效评价 预览

Effect Assessment of Stapled Trans-anal Rectal Resection in Outlet Obstructive Constipation
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摘要 目的:吻合器经肛直肠切除术治疗出口梗阻型便秘的疗效评价。方法:纳入本院于2018年1月~2018年12月收治的60例出口梗阻型便秘患者,纳入研究对象,所有患者均行吻合器经肛直肠切除术治疗,评价治疗效果。结果:60例患者手术时间在20~50min,平均为(34.5±8.0)min;标本切除前壁范围在2.5~4.5cm,平均为(3.4±0.3)cm;标本切除后壁范围1.8~4.0cm,平均为(3.0±0.2)cm。术后当日评估患者疼痛评分,结果为(4.1±1.0)分;护士根据评估结果遵医嘱为患者提供止痛药处理;术后4d再次进行评分,平均为(2.7±0.2)分。术后3例(5.00%)患者发生吻合口炎症;未出现其他并发症。60例患者中对手术疗效满意度评价:非常满意50例(83.33%)、一般9例(15.00%)、不满意1例(1.67%),满意度为59例(98.33%)。结论:吻合器经肛直肠切除术治疗出口梗阻型便秘的疗效乐观。 Objective:To study the effect of stapled trans-anal rectal resection(STARR)in outlet obstructive constipation.Methods:60 outlet obstructive constipation patients treated from January 2018 to December 2018 in our hospital were selected.STARR was performed.The therapeutic effect was probed.Results:The operation time was in the range of 20-50min at an average value of(34.5±8.0)min;the resected anterior wall was in the range of 2.5-4.5cm at an average value of(3.4±0.3)cm;the resected posterior wall was in the range of 1.8-4.0cm at an average value of(3.0±0.2)cm.Upon surgery,the pain scores were(4.1±1.0);the nurses offered the patients with painkillers.After 4d of surgery,the pain scores were(2.7±0.2).After surgery,there were 3 cases with anastomotic inflammation(5.00%);on other complications were occurred.According to the assessment for patient’s satisfaction,there were 50 very satisfactory cases(83.33%),9 satisfactory cases(15.00%)and one unsatisfactory case(1.67%).The overall satisfaction was 98.33%(n=59).Conclusion:STARR has a favorable effect in outlet obstructive constipation patients.
作者 熊瑞 王卫 候静 XIONG Rui;WANG Wei;HOU Jing(Anorectal Surgery Department, Haibin People’s Hospital,Tianjin 300280)
出处 《中国医疗器械信息》 2019年第12期3-4,共2页 China Association for Medical Devices Industry
关键词 吻合器 肛直肠切除术 便秘 疗效 stapled trans-anal rectal resection constipation effect
作者简介 熊瑞,副主任医师,科副主任,肛肠外科、普通外科,硕士研究生。
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  • 1邵万金(译),杨柏林(译).便秘罗马Ⅲ标准[J].中华胃肠外科杂志,2007,10(6):579-580. 被引量:80
  • 2Hasan HM. Stapled transanal rectal resection for the surgical treatment of obstructed defecation syndrome associated with rectocele and rectal intussusception [J]. ISRN Surg,2012,20(12);652345-652349. 被引量:1
  • 3Ding JH, Zhang B,Bi LX, et al. Functional and morphologic outcome after stapled transanalrectal resection for obstructed defecation syndrome[J]. Dis Colon Rectum,2011,54(4):418-424. 被引量:1
  • 4Longo A. Obstructed defecation because of rectal pathologies. Novel surgical treatment: stapled transanal resection (STARR)[C]. Annual Cleveland Clinic Florida Colorectal Disease Symposium,2004. 被引量:1
  • 5Song KH, Lee du S, Shin JK, et al. Clinical outcomes of stapled transanalrectal resection (STARR)for obstructeddefecationsyn-drome (ODS): a single institution experience in South Korea [J]. Int J Colorectal Dis,2011,26(6):693-698. 被引量:1
  • 6Nusrat S,Miner PB Jr. New pharmacological treatment options for irritable bowel syndrome with constipation [J]. Exp Opin Emerg Drugs,2015,7(9):10-12. 被引量:1
  • 7Jiang C,Ding Z,Wang M, et al. A transanal procedure using an en-do - scopic linear stapler for obstructed defecation syndrome: the first Chinese experience[J]. Tech Coloproctol,2012;16(1):21-27. 被引量:1
  • 8El - Salhy M,Hatlebakk JG,Hausken T. Reduction in duodenal endocrine cells in irritable bowel syndrome is associated with stem cell abnormalities [J]. World J Gastroenterol,2015 ,21(32);9577-9587. 被引量:1
  • 9Maselli MA, Mennuni L. CCKl receptor antagonist, dexloxiglu-mide: effects on human isolated gallbladder. Potential clinical ap-plications[J]. Minerva Gastroenterol Dietol'2003 ,49(3):211-216. 被引量:1
  • 10Ommer A, Kohler A, Athanasiadis S. Diagnosis of the function of the anorectum and pelvic floor [ J ]. Dtsch Med Wochenschr, 1998, 123 (17) :537-544. 被引量:1

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