Treatment of 50 Cases of Outlet Obstructive Constipation by Modified Procedure for Prolapse and Hemorrhoids
XI Chang-lei,GONG Zhi-lin,ZHOU Qi-chang,YU Jie,YE Hui,CAO Long-lei,WANG Pei-yun
Jingzhou Central Hospital, Hubei Province, Jingzhou (434020), China
Abstract:
Objective To discuss the effect of modified procedure for prolapse and hemorrhoids on the colo-anarectal dynamics in patients with outlet obstructive constipation. Methods One hundred patients with outlet obstructive constipation were selected, according to the random distribution, and all patients were divided into treatment group and control group, 50 cases in each group. The patients in control group were given routine procedure for prolapse and hemorrhoids treatment, the patients in treatment group were given modi?ed procedure for prolapse and hemorrhoids treatment, and the clinical effect, general operation, complications and recurrence rate, and anorectal dynamics [anal high-pressure zone (HPZ), resting pressure (ARP) and peak systolic blood pressure (MSP)] were compared between the two groups. Results The difference was not statistically significant in the intraoperative bleeding, wound healing time, hospitalization time, complication rate of treatment group and control group (P>0.05), the operation time [(35.72±3.95) min vs (30.24±3.56) min] of treatment group was signi?cantly higher than that of control group, and the difference was statistically signi?cant (P<0.05). The postoperative HPZ, ARP and MSP levels of treatment group and control group were signi?cantly higher than those of the preoperative, the postoperative HPZ [( 4 . 26± 0 . 45 ) cm vs ( 3 . 68 ± 0 . 38 ) cm], ARP [( 45. 21± 4 . 21) mmHg vs ( 36. 72± 3 . 69) mmHg] and MSP [( 130. 45± 14. 27) mmHg vs ( 116. 45± 12.82) mmHg] levels of treatment group were signi?cantly higher than those of control group, and the difference was statistically signi?cant (P<0.05). The treatment effective rate (100% vs 88%) of treatment group was signi?cantly higher than that of control group, the difference was statistically significant (P < 0 . 05). During the 12 months of follow-up, the recurrence rate ( 4 % vs 8 %) of treatment group was significantly lower than that of control group, and the difference was statistically signi?cant (P <0.05). Conclusions Modified procedure for prolapse and hemorrhoids can effectively improve the anorectal dynamics in patients with outlet obstructive constipation, which is bene?cial to the improvement of the patient' s near and long term effect, and it has good safety, it is worth for further clinical promotion.
