Long-term results of transanal repair of rectocele using linear stapler
Long-term results of transanal repair of rectocele using linear stapler
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DOI：
10.1007/s10350-004-0527-x
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发表时间：
2004-06-01
影响因子：
3.9
通讯作者：
Boissel, P
中科院分区：
文献类型：
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作者：
Ayav, A;Bresler, L;Boissel, P
目得：本研究旨在确定使用直线型吻合器经肛门直肠前突修补术的长期结局：1989年至1999年，21例有症状的直肠前突患者入选本研究。就诊时的中位年龄为52岁（范围：21-75岁）。所有患者均使用直线型吻合器进行经肛门修复。中位随访时间为58个月（范围：12-118）后，进行最终评价以评估长期结果。患者被问及目前的问题与便秘，使用泻药，失禁，阴道数字化，阴道隆起，疼痛，出血，和性功能障碍的存在。16例（76%）患者症状缓解。手术减少了排便障碍症状（术前21例对术后5例; P < 0.001）和阴道数字化的需要（21例对6例; P < 0.001）。只有三名患者（14%）没有改善的迹象。2例患者（9%）在复发前3年有暂时性改善。结论：使用直线型吻合器经肛门直肠前突修补术是一种简单、安全、有效的矫正症状性直肠前突的手术。这种手术可以获得成功的长期结果。
PURPOSE: This study was designed to determine the long-term outcomes of transanal rectocele repair using a linear stapler.METHODS: Between 1989 and 1999, 21 patients with symptomatic rectocele were enrolled for this study. Median age at time of presentation was 52 (range, 21-75) years. All patients underwent a transanal repair using a linear stapler. End evaluation to assess long-term results was performed after a median duration of follow-up of 58 (range, 12-118) months. Patients were asked about current problems with constipation, use of laxatives, incontinence, vaginal digitalization, presence of vaginal bulge, pain, bleeding, and sexual dysfunction.RESULTS: The postoperative course was uneventful in all cases. Sixteen (76 percent) patients had symptomatic relief. The operation reduced symptoms of obstructed defecation (21 vs. 5, preoperative vs. postoperative; P < 0.001) and the need of vaginal digitalization (21 vs. 6; P < 0.001). Only three patients (14 percent) showed no sign of improvement. Two patients (9 percent) had temporary improvement for three years before recurrence.CONCLUSIONS: Transanal repair of rectocele using a linear stapler is an easy, safe, and useful procedure for the correction of symptomatic rectocele. Successful long-term outcome can be achieved with this procedure.