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目的 :探讨治疗直肠前突简便而有效的手术方式。方法 :对顽固性便秘患者经X线排粪造影检查筛选中重度直肠前突 34例 ,其中中度前突 13例采用经直肠闭合式 (Bleck)术式、中度偏重及重度前突 2 1例采用经直肠开放式 (Sehapaysk)术式治疗。结果 :采用Block术式修补 13例 ,治愈 10例 ,显效 2例 ,无效 1例 ,采用Seha payak术式修补 2 1例 ,治愈 10例 ,显效 4例 ,无效 1例 ,两种术式总治愈率 85 .3% ,总有效率 94 .1%。结论 :对顽固性便秘患有中重度直肠前突患者采用经直肠入路修补治疗方法简单、痛苦小、疗效确切 ,是一种较为理想的手术治疗方式。
Objective: To explore a simple and effective operation for the treatment of rectocele. Methods: Thirty-four patients with refractory constipation underwent X-ray defecography to screen moderate to severe rectocele. Among them, 13 cases of moderately advanced protrusion were treated by Bleck operation, moderately severe and severe protrusion 21 For example, the treatment of rectal open (Sehapaysk) surgery. Results: Seventy patients were repaired by Block technique, 10 were cured, 2 were markedly effective and 1 was ineffective. Sei payak was used to repair 21 cases, 10 cases were cured, 4 cases were markedly effective, and 1 case was ineffective. Rate of 85.3%, the total efficiency of 94.1%. Conclusion: It is an ideal surgical treatment for patients with refractory constipation who suffer from moderate and severe rectocele to be treated by transrectal rectal repair. The method is simple, less painful and effective.