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직장류 환자를 위한 경항문 직장류 교정술 단독 술식과 후질벽봉합술을 더한 복합술식에서 항문직장 기능 변화와 치료성적의 비교

Comparison of Rectoanal Physiologic Changes and Treatment Results between Transanal Repair and Transanal Repair with Posterior Colporrhaphy in Patients with Rectocele

대한대장항문학회지 2004년 20권 2호 p.86 ~ 92
김주형 ( Kim Joo-Hyung ) - 한빛외과 대장항문클리닉

권영민 ( Kwon Young-Min ) - 구리제일병원 외과
이용표 ( Lee Yong-Pyo ) - 구리제일병원 외과

Abstract


Purpose: Rectoceles are often associated with anorectal symptoms. Various surgical techniques have been described to repair rectoceles, but the surgical results vary. The aim of this study was to compare transanal repair (TAR) and transanal repair with posterior colporrhaphy (TAR+PC).

Methods: The records of 58 patients operated on during a 56-month period were reviewed. Of those 26 patients had a TAR, and 32 patients had a TAR+PC. Interviews and anorectal physiologic studies were performed preoperatively and postoperatively.

Results: The recurrence rate after a TAR+PC was lower than the recurrence rate after a TAR (TAR 19.2% vs. TAR+PC 3.1%). The rectal sensation (sensory threshold: TAR 64.8±18.9 ml vs. TAR+PC 56.1±23.67 ml; earliest defecation urge: TAR 116.4±29.5 ml vs. TAR+PC 104.8±31.2 ml) was more improved after a TAR+PC.

Conclusions: A TAR+PC for treatment of a rectocele is safe and effectively corrects obstructed defecation. The improvement probably relates, at least in part, to rectal sensational factors other than the dimensions of the rectocele. J Korean Soc Coloproctol 2004;20:86-92

키워드

직장류;경항문 직장류 교정술;후질벽봉합술
Rectocele;Transanal rectocele repair;Posterior colporrhaphy
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