| 肛肠吻合器在低位短节段良性直肠狭窄中的短期疗效分析 |
| 投稿时间：2025-07-25 修订日期：2025-09-08 点此下载全文 |
| 引用本文：韦晨,曲牟文.肛肠吻合器在低位短节段良性直肠狭窄中的短期疗效分析[J].医学研究杂志,2026,55(1):64-69 |
| DOI：
10.11969/j.issn.1673-548X.2026.01.012 |
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| 基金项目:中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023048) |
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| 中文摘要:目的 探讨肛肠吻合器在良性直肠狭窄中的应用价值。方法 本研究为回顾性队列研究,纳入2022年1月～2024年1月就诊于中国中医科学院广安门医院的良性直肠狭窄患者,根据手术方式分为经肛吻合器狭窄环切除术组(吻合器组)、经肛狭窄切开术组(切开组)、经肛狭窄挂线术组(挂线组)。主要结局指标为术后再狭窄率、术后排便困难完全缓解率,次要结局指标为术后并发症等。结果 共74例患者纳入研究,其中吻合器组19例、切开组35例、挂线组20例。3组患者狭窄高度中位数为4cm,狭窄长度中位数为0.5cm。吻合器组、切开组、挂线组术后再狭窄率分别为5.26%、8.57%和10.00%(P＞0.05),术后排便困难完全缓解率分别为100.00%、94.29%和85.00%(P＞0.05),吻合器组术中出血量较少(P＜0.001),术后疼痛较轻(P=0.005)、术后住院天数较短(P＜0.001)。结论 经肛吻合器狭窄环切除术可用于距肛近、狭窄长度短的良性直肠狭窄,不增加术后再狭窄率,具有狭窄症状缓解显著、术后并发症少的优势。 |
| 中文关键词:直肠狭窄 肛肠吻合器 切开法 挂线法 |
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| Analysis of Short-term of Anorectal Staplers in Low-position Short-segment Benign Rectal Strictures. |
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| Abstract:Objective To explore the application value of anorectal staplers in benign rectal stenosis. Methods This study was a retrospective cohort study, patients with benign rectal stenosis who visited Guang′anmen Hospital of China Academy of Chinese Medical Sciences from January 2022 to January 2024. Patients were divided into three groups based on surgical methods:transanal stapler stenosis ring resection group (stapler group), transanal stenosis incision group (incision group), and transanal stenosis suspension group (suspension group). The primary outcomes were the recurrence rate of rectal stenosis and complete relief rate of postoperative defecation difficulty, while secondary outcomes were postoperative complications, etc. Results A total of 74 patients were included in the study, with 19 in the stapler group, 35 in the incision group, and 20 in the suspension group. The recurrence rates of stenosis for the stapler, incision, and suspension groups were 5.26%, 8.57%, and 10.00%, respectively (P>0.05). The complete relief rates of postoperative defecation difficulty were 100.00%, 94.29%, and 85.00%, respectively (P＞0.05). The stapler group had fewer postoperative bleeding volume (P<0.001), less pain (P=0.005), and shorter postoperative hospital stay (P<0.001). Conclusion Transanal stapler stenosis ring resection can be used for benign rectal stenosis which is close in distance and narrow in width. It does not increase the rate of restenosis after surgery, relieve stenotic symptoms immediately after surgery and has fewer postoperative complications. |
| keywords:Rectal stenosis Anorectal stapler Cutting method Seton therapy |
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