The effect of improved closed repair operation combined with YiQiZengYe traditional Chinese medicine for treating patients with severe rectocele / 中国基层医药

ABSTRACT

Objective To observe the clinical efficacy of improved closed repair operation combined with YiQiZengYe traditional Chinese medicine(TCM) for treating the patients with severe rectocele.Methods 60 patients with severe rectocele were randomly divided into treatment group and control group.The patients in treatment group received the treatment of improved closed repair operation combined with YiQiZengYe TCM,and the patients in control group received the treatment of conventional transvaginal incision repair.The clinical efficacy was evaluated 3 months after surgery.The clinical symptom score,rectocele depth of resting bit and force row,postoperative complications of two groups were comparatively analyzed.Following-up of 6 months after surgery,the postoperative recurrence was observed.Results The effective rate of the treatment group was 100.0％,and was significantly higher than that of the control group(70.0％) (x2 =10.588,P ＜ 0.05) ; The complication rates of postoperative bleeding,pain,anal bulge and infection in the treatment group were 0 cases,3 cases(10.0％),7 cases(23.3％),1 cases (3.3％),respectively,wich were significantly lower than those of the control group [4 cases (13.3％),23 cases (76.7％),28cases (93.3％),9 cases (3.3 ％)] (x2 =4.286,38.400,30.240,7.680,all P ＜ 0.05).There was no postoperative recurrence in the treatment group.Conclusion The improved closed repair operation combined with YiQiZengYe TCM for treating the patients with severe rectocele can significantly improve the clinical efficacy,effectively improve prognosis and prevent recurrence.This treatment method is safe and reliable.