Clinical Study On The Combination Surgery Therapy Treat Outlet Obstruction Constipation Caused By Rectocele

Constipation is a common disease,with the improvement of people’s livingstandards, increased intake of refined foods,as well as working to accelerate the paceof life,the impact of an aging population,and many other factors,it has restrictedpeople’s lives,reduce the quality of life of stubborn disease.Long-term constipationlight can lead to memory loss,inability to concentrate,and even makes the spirit ofanxiety and depression.Chronic constipation and colorectal organic changes causedby the physical structure of the anus,anal and induce other anal tract disease.Patientswith constipation defecation due to efforts to earn,greatly increasing the risk ofcardiovascular and cerebrovascular diseases induced.Clinical classification of slowtransit constipation constipation,outlet obstruction constipation and mixedconstipation.This topic is observed object outlet obstruction constipation,which includesrectocele,the rectal prolapse,pelvic floor muscle loss retardation.Foregut conflict thatis rectal prolapse,rectal wall prominent for outlet obstruction constipation most oftensee reason,its outlet obstruction constipation caused30.6%~62.0%,its symptoms andstubborn.Its specific physiological anatomy,surgery is often long-term effect is notideal.How to choose a new surgical method for treating rectocele caused by outletobstruction constipation is the main direction of our research.Drugs commonly usedsurgical methods based on traditional Chinese medicine combined with surgery,simple lines PPH surgery and injection sclerotherapy Xiaozhiling anal suddeninjection of preoperative rectal,though simple,small trauma,healing time is short,fewer complications and sequelae.the recent significant effect and so on.However,dueto poor long-term outcome.So the pain caused by constipation rectocele caused topatients,longer duration,treatment,long-term effects inaccurate,easy to relapse,is arecognized anorectal disease more difficult to completely cure. Objective: To observe the combined therapy (PPH surgery ad rectal wallcolumnar mucosa injection sclerotherapy ad anal bit hung up before surgery)treatment of rectocele outlet obstruction constipation caused by the clinical efficacyof postoperative complications,wound recovery time using this topic and short andlong term effects. TCM to explore new ways of rectocele surgical treatment.Methods: In accordance with the principles of randomized,controlled speakersmeet the diagnostic criteria,inclusion criteria,exclusion criteria after the lastscreening,will pass60inpatients were randomly divided into three groups,namely,thetreatment group and the control group A,group B.A control group given pure PPHsurgery,give PPH surgery control group B ad rectal wall columnar mucosasclerotherapy injection,the control group A,group B, respectively,with the treatmentgroup pairwise comparisons and detailed records of patients before symptoms ofconstipation self-assessment points,postoperative complications,blood loss,postoperative defecation first time and after1month,3months after constipationsymptom score,and followed up for six months.Results:1Comparison of clinical efficacy.The total effective rate was100%inJanuary,after the control group A total effective rate was80%in the control group Bthe total effective rate of90%,effective clinical treatment group than the controlgroups A,B,which treatment group was significantly different(p<0.05) than thecontrol group efficiency a.Three months after treatment group total effective rate was100%in the control group A total effective rate was75%in group B the totaleffective rate of80%,effective clinical treatment group and two control groups A,Bsignificantly difference(△p<0.05,▲p<0.05).From the above data,the clinical treatmentafter1-3months,the treatment group were higher than the other two groups,combination therapy is an effective method of pre-treatment of constipation caused byrectocele.2. Constipation symptom score compared.The treatment group and the controlgroup A,B,3months after surgery constipation symptoms are significant differencesin self-assessment to reduce the value of the integral.self-assessment to reduce thetreatment group scored significantly higher than A,B(p<0.01);three after the grouptherapy,constipation symptom assessment scores than before surgery reduced,therewas a significant difference(p<0.05)before and after surgery;treatment group andcontrol group A treatment in January,after March,constipation integral significantdifference (p<0.01). 3. Comparison of the main symptoms before and after treatment of constipationself-assessment points.The main symptom score compared with preoperativedifferences were significant (p<0.05) after three groups of patients after surgery. After1month,the treatment group is better than the other two groups in the effort toimprove bowel movements and reduce fall,endless sense of falling,bloating and othersymptoms,and the control group A,B there was a significant difference (p<0.05);surgery after March,the treatment group is better than the other two groups,treatmentgroup,the main symptom score decreased significantly different (p<0.05) and the twocontrol groups.Conclusion: The subject combination therapy in patients with pre-treatment ofrectal pain sudden,high degree of constipation symptoms,the clinical cure rate is high,the recent,long-term effects are satisfactory.This paper confirms the observation ofcombined therapy rectocele feasibility and usability.