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目的 评价手术对多因素致出口处梗阻性便秘的治疗作用。方法 经排粪造影及直肠指检确诊的多因素出口处梗阻性便秘患者 42例 ,对直肠前突行前壁切开修补术 ,直肠内套叠及直肠前壁黏膜松弛者行前壁连续缝合固定术及黏膜下注射消痔灵和利多卡因混合液 ,肛管狭窄者行狭窄环切开松解术 ,盆底痉挛行局部理疗及口服中药补中益气丸等综合治疗。结果 手术治愈率 67% ,手术总有效率 90 % ,手术与药物综合治愈率 83 % ,疗效满意。结论 明确出口梗阻性便秘致病因素是提高其疗效的关键 ,手术治疗起着主导性的作用。
Objective To evaluate the therapeutic effect of surgery on obstructive constipation caused by multiple factors. Methods Twenty-two cases of obstructive constipation were diagnosed at the multifactorial exfiltrated site by means of defecography and digital rectal examination. The anterior wall of the rectocele, the anastomosis of the rectum and the anterior wall of the anterior rectal mucosa were sutured continuously Fixation and submucosal injection of Xiaozhiling and lidocaine mixture, stenosis of the anal sphincterotomy, pelvic floor spasm local physiotherapy and oral Buzhongyiqi pills and other comprehensive treatment. Results The surgical cure rate was 67%, the total effective rate was 90%, the comprehensive cure rate of operation and medicine was 83%, and the curative effect was satisfactory. Conclusion It is clear that the pathogenic factors of outlet obstruction constipation is the key to improve its curative effect. Surgical treatment plays a leading role.