改良starr治疗直肠前突的临床研究

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1、授予单位代码10089学号或申请号20152388中国图书分类号R657.1HebeiMedicalUniversity硕士学位论文学术学位改良STARR治疗直肠前突的临床研究研究生：张学同导师：高记华教授专业：中西医结合临床二级学院：河北省中医院2018年3月目录中文摘要············································································································1英文摘要·····································

2、·······································································3研究论文改良STARR治疗直肠前突的临床研究前言············································································································5材料与方法·············································································

3、···················6结果··········································································································13附图··········································································································15附表·············································

4、·····························································17讨论··········································································································20结论··········································································································27参考文献

5、··································································································27综述直肠前突的手术治疗进展··································································29致谢········································································································

6、··········42个人简历··········································································································43中文摘要摘要目的:评价改良STARR治疗直肠前突的疗效、安全性和临床可操作性。方法:筛选河北省中医院肛肠科收治的直肠前突型ODS女性患者112例；其中，行改良STARR手术治疗的62例，作为观察组，行STARR手术治疗的50例，作为对照组。通过术中记录，术后查房、换药，出院后电话回访或来医院复诊的方式获得患者的临床资料，包括

7、手术时间、ODS评分、排粪造影结果、术后并发症等。通过对这些临床资料的整理和运用统计学进行分析，评价改良STARR。结果:1.术后排粪造影结果显示，观察组为4.50±0.67mm，对照组为6.10±1.71mm；经统计学分析，术后排粪造影结果的差异有统计学意义(P<0.05)。2.术后患者的ODS评分，观察组为2.19±1.11分，对照组为2.72±1.29分，经统计学分析，术后两组的ODS评分差异有统计学意义(P<0.05)；术后6个月ODS评分，观察组为2.11±1.16分，对照组为3.02±1.30分，经统计学分析，术后两组的ODS评分差异有统