ABSTRACT
To evaluate the clinical observation of rectal prolapse by partial perineal rectal sigmoidectomy.Methods Sixty patients with rectal prolapse who met the diagnostic criteria of rectal prolapse in Yiwu Central Hospital from April 2013 to June 2015 were selected as the research subjects.They were divided into two groups according to random number table ,with 30 cases in each group.The observation group used Altemeier ,and the control group underwent triple surgery ( rectal mucosal ligation ,periorbital injection,and anal ring retraction ).The total effective rate after surgery was compared and analyzed.Results The operation of the two groups was successfully completed.The total effective rate of the observation group was 96.67%,which was significantly higher than 80.00%of the control group,the difference was statistically significant ( χ2 ＝5.856,P ＝0.048).The Wexner constipation score of the observation group was (1.4 ±1.6) points,which was significantly lower than that of the control group [(3.2 ±2.0) points, t ＝3.849, P ＜0.05].The Wexner anal incontinence score of the observation group after 24 months was (2.9 ±1.8)points,which was significantly lower than that of the control group [(4.4 ±2.7) points, t＝2.532,P＜0.05].The proportions of anastomotic bleeding ,pelvic swelling and perianal eczema in the observation group were 0.00%,0.00%and 3.33%,respectively,which were significantly lower than those in the control group (20.00%,23.33%and 30.00%,χ2 ＝4.630,5.822,7.680,all P＜0.05).Conclusion Altemeier can significantly improve the quality of life of patients ,with a high cure rate and good clinical results.
ABSTRACT
Objective@#To evaluate the clinical observation of rectal prolapse by partial perineal rectal sigmoidectomy.@*Methods@#Sixty patients with rectal prolapse who met the diagnostic criteria of rectal prolapse in Yiwu Central Hospital from April 2013 to June 2015 were selected as the research subjects.They were divided into two groups according to random number table, with 30 cases in each group.The observation group used Altemeier, and the control group underwent triple surgery (rectal mucosal ligation, periorbital injection, and anal ring retraction). The total effective rate after surgery was compared and analyzed.@*Results@#The operation of the two groups was successfully completed.The total effective rate of the observation group was 96.67%, which was significantly higher than 80.00% of the control group, the difference was statistically significant(χ2=5.856, P=0.048). The Wexner constipation score of the observation group was (1.4±1.6)points, which was significantly lower than that of the control group[(3.2±2.0)points, t=3.849, P<0.05]. The Wexner anal incontinence score of the observation group after 24 months was (2.9±1.8)points, which was significantly lower than that of the control group [(4.4±2.7)points, t=2.532, P<0.05]. The proportions of anastomotic bleeding, pelvic swelling and perianal eczema in the observation group were 0.00%, 0.00% and 3.33%, respectively, which were significantly lower than those in the control group(20.00%, 23.33% and 30.00%, χ2=4.630, 5.822, 7.680, all P<0.05).@*Conclusion@#Altemeier can significantly improve the quality of life of patients, with a high cure rate and good clinical results.
ABSTRACT
Objective To evaluate the clinical effect and efficacy of endoscopy treatment for isolated gastric varices 1 with tissue glue and metal clips. Metheds The clinical date of 21 patients who treated tissue glue and metal clips were retrospectively analyzed from Jan 2015 to Dec 2016. Results The treatments were completed successfully and reviewed by endoscopy after 1 week, 1 month, 3 months, 6 months. The gastric varices were reduced, and the serious complications of bleeding, embolism were little. Conclusion The endoscopy treatment for isolated gastric varices 1 with tissue glue and metal clips is contributed to clinical effect, and the treatment provides a reference for clinical treatment.
ABSTRACT
Objective To investigate the pathogenesis of hepatorenal syndrome(HRS),especially the role of the vasoconstrictor that and vasodilator that played in the process.Methods The patients were divided into two groups for observation:The patients of chronic hepatitis with HRS were observational group,the patients of chronic hepatitis without hepatorenal syndrome were control group.Immunoenzyme technique was used for detecting the quantity of renin、atrial natruretic polypeptide、nitric oxide and endothelin in blood and ascites of all patients in two groups respectively.Then we compared the data of the two groups.Results Compared with those of the control group,rennin and endothelin in blood and ascites of the observational group increased significantly(P