Clinical Observation of Delorme and PPH Combined with Sclerotherapy Injection in Treatment of Second Degree Rectal Prolapse
LIU Qing-sheng,ZHANG Heng
Department of Anorectal Surgery, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming (650500), China
Abstract:
Objective To compare the clinical efficacy of Delorme operation and PPH combined with perirectal three-gap sclerosing agent injection in the treatment of second-degree rectal prolapse. Methods A retrospective analysis was made of 30 patients with second-degree rectal prolapse, 15 cases with Delorme operation and 15 cases with PPH combined with three-gap perirectal sclerotherapy injection. The clinical efficacy and surgical related problems of two surgical methods for second degree rectal prolapse were compared. Results There was no significant difference in total effective rate, average hospital stay and improvement of anal function between the two groups (P>0.05). There were significant differences in intraoperative bleeding volume (100.0±15.5) mL, operation time (60.0±11.3) min, treatment cost (8023.5±201.5) yuan and bleeding volume (25.0±8.6) mL, operation time (45.0±9.2) min, treatment cost (11016.5±276.9) yuan between Delorme group and PPH group (P<0.05). Conclusion The two groups were safe and effective in the treatment of second degree rectal prolapse. The operation was relatively simple, with advantages and disadvantages. Delorme group was superior in case selection and cost, and PPH group was superior in operation time and bleeding volume. Postoperative anal function was improved in both groups, but the degree of improvement was different and the individual difference was great.
