腹腔镜腹侧网状直肠固定术治疗女性直肠脱垂的术后功能评价被引量：3

Postoperative functional evaluation of laparoscopic ventral reticular rectoplasty for female patients with rectal prolapse

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摘要目的考察腹腔镜腹侧网状直肠固定术(LVMR)对女性直肠脱垂的相关功能的改善效果。方法选取2014年3月—2017年6月郴州市第一人民医院女性直肠脱垂患者47例,采用LVMR进行治疗。末次随访时对患者进行相关问卷调查及评分,包括Wexner大便失禁评分问卷、Longo ODS问卷及BBUSQ-22问卷,同时考察随访并发症与复发情况。结果术后整体Wexner大便失禁评分较术前降低(P<0.05);术后Longo ODS总分较术前降低(P<0.05),仅使用灌肠剂和栓剂评分差异无统计学意义(P>0.05);术后BBUSQ-22总分较术前降低(P<0.05),但个别评分项的差异无统计学意义(P>0.05);复发3例,均无明显并发症。结论采用LVMR治疗女性直肠脱垂可获得满意的术后功能,具体表现为大便失禁、阻塞性排便及肠道和膀胱功能等改善显著。

作者陈鸣旺高舒影罗宏标唐清珠 Ming-wang Chen;Shu-ying Gao;Hong-biao Luo

机构地区郴州市第一人民医院肛肠科

出处《中国现代医学杂志》 CAS 北大核心 2021年第5期96-100,共5页 China Journal of Modern Medicine

关键词直肠脱垂腹腔镜腹侧网状直肠固定术女性术后功能

分类号 R657.19 [医药卫生—外科学]

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