Clinical effect of tissue selection theropy on outlet obstructive constipation

doi:10.3877/cma.j.issn.2095-3224.2015.02.07

Abstract

Abstract:

Objective

The objective of this study was to discuss the therapeutic efficacy of tissue selection therapy(TST)on treating outlet obstructive constipation(OOC).

Methods

The 72 patients with this disease were treated by TST and observed for postoperative clinical symptoms and related complications, which were quantization and compared afterwards.

Results

the average operative time was 35 minutes(25-45 minutes), the average intraoperative blood loss as 20ml(10-50ml); no other complications occurred except anal stenosis(1 case), anastomotic bleeding(2 cases), temporary anal gas incontinence(3 cases), temporary fecal urgency(6 cases); the postoperative scores of fecal frequency, defecation sense, sensation of rectal tenesmus, defecating way and defecating time were significantly lower than before(P<0.05). Of the 72 patients, 51 got cured, 16 improved and 5 inefficient, the total effective rate was 93.1%(67/72). During the follow up(3-24 months, mean 13.6 months), no recurrence was found.

Conclusion

TST is simpler in manipulation, with less surgical trauma and complications in the treatment of OOC, and the short term therapeutic efficacy is satisfactory.

Key words: Constipation, Hemorrhoids, Mucous membrane, Treatment outcome

Yang ZHANG, Gang ZHENG. Clinical effect of tissue selection theropy on outlet obstructive constipation[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(02): 139-143.

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References 20

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临床症状	1分	2分	3分
排便频率	<24h/次	24～72h/次	≥72h/次
排便感	一次排空	需两次排空	需两次以上排空
肛门坠胀	很少出现	偶尔出现	经常出现
排便方式	不用泻药或开塞露	偶尔服用泻药或使用开塞露	经常服用泻药或使用开塞露
排便时间	<10 min	10～30 min	≥30 min

临床症状	1分	2分	3分
排便频率	<24h/次	24～72h/次	≥72h/次
排便感	一次排空	需两次排空	需两次以上排空
肛门坠胀	很少出现	偶尔出现	经常出现
排便方式	不用泻药或开塞露	偶尔服用泻药或使用开塞露	经常服用泻药或使用开塞露
排便时间	<10 min	10～30 min	≥30 min

临床症状	术前	术后	P值
排便频率	2.75±0.52	1.05±0.22	<0.05
排便感	2.80±0.45	1.30±0.20	<0.05
肛门坠胀	3.20±0.32	1.10±0.13	<0.05
排便方式	3.45±0.41	1.05±0.05	<0.05
排便时间	2.95±0.40	1.45±0.20	<0.05

临床症状	术前	术后	P值
排便频率	2.75±0.52	1.05±0.22	<0.05
排便感	2.80±0.45	1.30±0.20	<0.05
肛门坠胀	3.20±0.32	1.10±0.13	<0.05
排便方式	3.45±0.41	1.05±0.05	<0.05
排便时间	2.95±0.40	1.45±0.20	<0.05

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