论文部分内容阅读
目的:探讨中西医结合治疗出口梗阻型便秘(FOOC)答疗效和途径。方法:对181例出口梗阻型便秘患者在术前已明确具体病因,行微创手术、硬化剂注射及使用肛管扩张器、口服六味安消胶囊等中西医结合手术治疗。结果:治愈179例,有效1例,无效1例。结论:对出口梗阻型便秘患者在术前行肛门直肠测压、排粪造影和胃肠通过时间测定,可以明确该型便秘的具体原因。将该型便秘分为两类:一是盆底松弛性(包括直肠内套叠或直肠粘膜脱垂、直肠前突、会阴下降综合征),二是盆底痉挛性(包括耻骨直肠肌综合征、内括约肌失弛缓症、盆底痉挛综合征)。中西医结合手术方式固定,疗效确切,创伤小,远期效果明显,其与单纯西医手术对照差异显著,P<0.05。
Objective: To investigate the curative effect and ways of treating obstructive constipation (FOOC) with traditional Chinese medicine and western medicine. Methods: 181 cases of patients with obstructive outlet obstruction in the preoperative specific causes have been clear, minimally invasive surgery, sclerosing agent injection and the use of anal canal dilator, oral Liuwei Anxiao Capsule and other traditional Chinese and Western medicine surgery. Results: 179 cases were cured, 1 was effective and 1 was ineffective. CONCLUSIONS: The causes of constipation in this type of constipation can be clearly identified in patients with obstructive outlet obstruction who underwent preoperative anorectal manometry, defecography, and gastrointestinal transit time. This type of constipation is divided into two categories: First, pelvic floor relaxation (including rectal intussusception or rectal mucosal prolapse, rectocele, perineal descending syndrome), and second, pelvic spasticity (including puborectalis syndrome , Sphincter achalasia, pelvic floor spasm syndrome). Integrative Chinese and Western methods of operation, curative effect is exact, trauma, long-term effect is obvious, and Western medicine surgery alone was significantly different (P <0.05).