关键词: 直肠前突；出口梗阻型便秘；直肠前壁修补术；痔上黏膜环切术

Abstract:

Abstract:Objective To study the clinical value of cotreatment with rectal wall repair and procedure for prolapse and haemorrhoids（PPH) on outlet obstruction constipation（OOC）induced by rectocele in woman.Methods The woman rectocele patients diagnosed and meeting the surgical indications in our hospital from 2004 to 2008 were randomly divided into monotreatment with rectal wall repair group and cotreatment with rectal wall repair and PPH group,and the efficiencies of the procedures and Longo’s ODS score were observed.Results The total efficiency in monotreatment with rectal wall repair group was 87.71%,the total efficiency in cotreatment with rectal wall repair and PPH group was 97.5%,there was significant difference between two groups (P<0.01); The Longo’s ODS score in monotreatment with rectal wall repair group was decreased from preoperative 17.34±2.77 to postoperative 6.31±1.31,the Longo’s ODS score in cotreatment with rectal wall repair and PPH group was  decreased  from preoperative 17.25±2.81 to postoperative 5.39±1.62. The  life qualities were improved significantly in both groups. But the effect of combined treatment with rectal wall repair and PPH in patients with  OOC caused by rectocele was more effective than that of monotreatment with rectal wall repair (P<0.01).No major postoperative complications occurred.Conclusion Cotreatment with rectal wall repair and PPH seems to be an effective and safe procedure to treat OOC caused by rectocele; and the procedure is more efficient than monotreatment with rectal wall repair.

Key words: rectocele；outlet obstruction constipation；rectal wall repair, procedure for prolapse and haemorrhoids