STARR术序贯盆底生物反馈治疗重度直肠前突的临床研究
【摘要】 目的：观察STARR术序贯盆底生物反馈治疗重度直肠前突的疗效。方法：将46例重度直肠前突患者随机分为试验组与对照组，每组各23例。试验组采用STARR术序贯盆底生物反馈治疗，对照组采用STARR术治疗。比较两组患者术前、术后6个月ODS评分、直肠测压检查结果。结果：试验组术后6个月ODS评分、直肠测压检查结果均优于对照组（P<0.05）。结论：STARR术序贯盆底生物反馈治疗，可明显提高重度直肠前突患者的满意率，改善盆底功能。
【关键词】 STARR术； 生物反馈； 直肠前突； ODS评分； 直肠测压
【Abstract】 Objective：To observe the clinical efficacy of STARR sequential combined with biofeedback in the treatment of severe rectocele.Method：46 patients with severe rectocele were randomly divided into treatment group and control group，23 cases in each group.The treatment group was treated by STARR sequential combined with biofeedback，while the control group was treated by STARR.The ODS score and result of rectal pressure test of two groups were recorded and compared before surgery and 6 months after surgery.Result：Patients’ ODS score and results of rectal pressure test and pelvic floor electromyography in the treatment group were better than those in the control group 6 months after surgery，the differences were statistically significant（P<0.05）.Conclusion：STARR sequential combined with biofeedback can significantly improve the satisfaction rate and improve pelvic floor function of severe rectocele.
【Key words】 STARR； Biofeedback； Rectocele； ODS score； Rectal pressure test
First-author’s address：Beijing Longfu Hospital，Beijing 100010，China
doi：10.3969/j.issn.1674-4985.2017.31.002
直肠前突（Rectocele）又称直肠前膨出，是常见的出口梗阻型便秘类型，其直肠前壁和阴道后壁突入阴道穹窿，排便时粪便向阴道内凸出，从而引起便秘[1]。直肠前突一般采用手术治疗，通过经肛门或经阴道进行修补，最终达到纠正解剖异常、改善盆底功...
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