文献类型：期刊文献

中文题名：腹腔镜和开腹直肠后补片悬吊固定术治疗男性直肠脱垂的临床疗效对比

英文题名：Comparison of clinical effects of laparoscopy and open retrorectal mesh suspension fixation in the treatment ofmalerectal prolapse

作者：王帅[1,2,3];赵丽霞[1,2,3];王涛[2,3];杨熊飞[2,3]

第一作者：王帅

机构：[1]甘肃中医药大学第一临床医学院,兰州730000;[2]甘肃省人民医院肛肠科,兰州730000;[3]甘肃省肛肠疾病临床医学研究中心,兰州730000

第一机构：甘肃中医药大学临床医学院

年份：2023

卷号：17

期号：2

起止页码：197

中文期刊名：中华普外科手术学杂志（电子版）

外文期刊名：Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

收录：CSTPCD

基金：甘肃省肛肠疾病临床医学研究中心建设项目(20JR10RA434);甘肃省卫生健康行业科研项目(NLDTG2020017)。

语种：中文

中文关键词：直肠脱垂;腹腔镜;剖腹术;自主神经通路;疗效比较研究

外文关键词：Rectal Prolapse;Laparoscopes;Laparotomy;Autonomic Pathways;Comparative

摘要：目的:对比腹腔镜和开腹直肠后补片悬吊固定术治疗男性直肠脱垂的疗效。方法:回顾性分析2014年2月至2021年2月行经腹直肠后补片悬吊固定术的46例男性患者临床资料,根据术式不同分为腹腔镜组(n=24例)和开腹组(n=22例)。采用SPSS 26.0软件处理数据,围手术期手术指标、术后功能学评分等计量资料以(xˉ±s)表示,采用独立样本t检验;术后并发症等计数资料采用χ^(2)检验。P<0.05表示差异具有统计学意义。结果:腹腔镜组手术时间大于开腹组(P<0.05);腹腔镜组术中出血量、首次下床时间、术后通气时间、术后住院时间均小于开腹组(P<0.05);腹腔镜组国际前列腺症状评分表(IPSS)评分低于开腹组、勃起功能国际问卷(IIEF-5)评分高于开腹组(P<0.05)。结论:腹腔镜下直肠后补片悬吊固定术治疗男性完全性直肠脱垂具有出血少、胃肠功能恢复快、有效保护排尿功能和性功能等优势,值得在临床广泛推广。
Objective To compare the efficacy of laparoscopic and open retrorectal suspension fixation in the treatment of male rectal prolapse.Methods A retrospective analysis was performed on 46 male patients who underwent transabdominal retrorectal mesh suspension fixation from February 2014 to February 2021,and they were divided into laparoscopy group(n=24 cases)and laparotomy group(n=22 cases)according to different operation methods.SPSS 26.0 software was used for processing.Perioperative indicators,postoperative functional scores and other measurement data were expressed as(x+s),and independent sample t test was used.Postoperative complications were counted using X test.P<0.05 meant the difference was statistically significant.Results The operation time of laparoscope group was longer than that of laparotomy group(P<0.05).The intraoperative blood loss,first time of getting out of bed,postoperative ventilation time and postoperative hospital stay in laparoscopic group were all lower than those in laparotomy group(P<0.05).The International Prostatic Symptom Scale(IPSS)score of laparoscopy group was lowerthan that oflaparotomy group,and the International Questionnaire of Erectile Function(IIEF-5)score was higher than that of laparotomy group(P<0.05).Conclusion Laparoscopic retrorectal mesh suspension fixation for the treatment of male complete rectal prolapse has the advantages of less bleeding,rapid recovery of gastrointestinal function,effective protection of urinary function and sexual function,and is worthy of widespread clinical application.