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¡¡¡¡Õª    Òª£º¡¡Ä¿µÄ ̽ÌÖ¸ÄÁ¼¾­»áÒõÖ±³¦ÒÒ×´½á³¦ÇгýÊõ(AltemeierÊõ)ÖÎÁÆÖ±³¦ÍÑ´¹(RP)ÁÆЧ·ÖÎö¡£·½·¨ ½«2017-03/2020-07µ±ÑôÊÐÈËÃñÒ½Ôº¸Ø³¦¿ÆÊÕÖηûºÏÄÉÈë±ê×¼µÄ12ÀýÖ±³¦ÍÑ´¹(RP)»¼Õß,ÐиÄÁ¼AltemeierÊõÖÎÁÆ,²¢¹Û²ì»¼ÕßÊõÇ°ÓëÊõºó3¸öÔÂ,¸ØÃÅʧ½ûWexnerÆÀ·Ö¡¢±ãÃØWexnerÆÀ·Ö¡¢¸Ø¹Ü¾²Ï¢Ñ¹(ARP)¡¢¸Ø¹Ü×î´óÊÕËõѹ(AMCP)¼°Êõºó×ÜÓÐЧÂÊ¡£Ëæ·Ã6¡«12¸öÔÂ,¹Û²ìÊõºó²¢·¢Ö¢¼°RP¸´·¢Çé¿ö¡£¼ÆÁ¿×ÊÁÏÒÔ(x±s)±íʾ,²ÉÓÃt¼ìÑé;¼ÆÊý×ÊÁÏÒÔÂʱíʾ,ÂʵıȽϲÉÓÃχ2¼ìÑé,ÒÔP<0.05Ϊ²îÒìÓÐͳ¼ÆѧÒâÒå¡£½á¹û ±¾×é12Àý»¼ÕßÊõºóÖÎÓú8Àý,ÓÐЧ4Àý,×ÜÓÐЧÂÊ100.00%¡£Êõºó3¸öÔ¸ØÃÅʧ½ûWexnerÆÀ·ÖºÍ±ãÃØWexnerÆÀ·Ö¾ùÃ÷ÏÔµÍÓÚÊõÇ°,ÊÖÊõÇ°ºó±È½Ï²îÒì¾ßÓÐÏÔ×ÅÐÔ(P<0.05),¶øÊõºó3¸öÔÂARP¼°AMCP²â¶¨ÖµÃ÷ÏÔ¸ßÓÚÊõÇ°,±È½Ï²îÒì¾ßÓÐͳ¼ÆѧÒâÒå(P<0.05),ÊõºóËæ·Ã6-12¸öÔÂ,±¾×é1Àý»¼Õ߸´·¢,¸´·¢ÂÊ8.33%(1/12)¡£³öÏÖ¸ØÃÅÌÛÍ´1Àý,±ãÃØ1Àý,²¢·¢Ö¢·¢ÉúÂÊΪ16.67%(2/12)¡£½áÂÛ ¸ÄÁ¼AltemeierÊõÖÎÁÆRP¿ÉÒÔÓÐЧ¸ÄÉƸØÃŹ¦ÄÜ,ÁÆЧȷÇÐ,²¢·¢Ö¢ÉÙ,¾ßÓÐÁÙ´²Ó¦ÓüÛÖµ¡£

¡¡¡¡¹Ø¼ü´Ê£º¡¡Ö±³¦ÍÑ´¹; ¾­»áÒõÖ±³¦ÒÒ×´½á³¦ÇгýÊõ(AltemeierÊõ); ÁÆЧ; ¸ØÃŹ¦ÄÜ;

¡¡¡¡Abstract£º¡¡Objective To investigate the effect of modified Altemeier operation in the treatment of rectal prolapse(RP).Methods Twelve patients with rectal prolapse(RP) who met the inclusion criteria from March 2017 to July 2020 in our hospital,conduct modified Altemeier treatment,the Wexner score of anal incontinence,Wexner score of constipation,anal resting pressure(ARP),anal canal maximum systolic pressure(AMCP) and total effective rate were observed before and 3 months after operation.The patients were followed up for 6 to 12 months to observe postoperative complications and recurrence of RP.Results This group of 12 patients,8 cases were cured,4 cases were effective,and the total effective rate was 100.00%.the Wexner scores of anal incontinence and constipation at 3 months after operation were significantly lower than those before operation,there was significant difference before and after operation(P<0.05),the values of ARP and AMCP at 3 months after operation were significantly higher than those before operation,the difference was statistically significant(P<0.05),the patients were followed up for 6 to 12 months.One case recurred,and the recurrence rate was 8.33%(1/12).there was 1 case of anal pain and 1 case of constipation.The complication rate was 16.67%(2/12).Conclusion Modified Altemeier surgery for the treatment of RP can effectively improve anus function,with definite curative effect,fewer complications,and clinical application value.

¡¡¡¡Keyword£º¡¡Rectal prolapse; Modified Altemeier; curative effect; Anus function;

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