岭南现代临床外科2023，Vol.23Issue(5)：410-414,5.DOI:10.3969/j.issn.1009-976X.2023.05.007
参苓白术散颗粒联合提肛训练对中低位直肠癌Dixon术后肛门功能障碍的近期疗效评价
Short-term efficacy evaluation of Shenling Baizhu San granules combined with training of lifting the anus for anal dysfunction after Dixon's operation for middle and low rectal cancer
摘要
Abstract
Objective To explore the short-term efficacy of Shenling Baizhu San granules combined with training of lifting the anus for anal dysfunction after Dixon operation for middle and low rectal cancer.Methods Forty-fivepatients with rectal cancer undergoing Dixon'soperation were divided into a control group(treated with Montmorillonite powder combined with levator ani muscle training)of 21 cases,and a study group(treated with oral Shenling Baizhu San granules beside of the same as control group)of 24 cases.The recovery of anal function was evaluated using Williams criteria,Wexner scoring system,and defecography at 1,3,6 months after surgery.Results Williams Anal Function Assessment:The fine anal function rate of in the study group was higher than that in the control group at 3 months after surgery,with a statistically significant difference(P=0.042),but there was no statistically significant difference at 1 and 6 months after surgery(P>0.05).Wexner score of anal incontinence:The Wexner score of anal incontinence in the study group was significantly lower than that in the control group at 1,3,6 months after surgery,with a statistically significant difference(P<0.05).Six months after surgery,defecography in ZD patients at the study group patients(20/24)and 15 patients(15/21)at the control group showed fine rectal filling without significant stenosis and no leakage of contrast media.Conclusion Shenling Baizhu San granules combined with training of lifting the anuscan accelerate the recovery of anal dys-function after Dixon's operation for middle and low rectal cancer,and reduce the incidence of postopera-tive anal incontinence.关键词
参苓白术散/提肛训练/中低位直肠癌Dixon术后/肛门功能Key words
Shenling Baizhu San/training of lifting the anus/middle and low rectal cancer patients after Dixon's operation/anal function分类
医药卫生引用本文复制引用
霍景山,梁立雪,杨志林,吴岷翰,贺友,黄诚友,韩新峰..参苓白术散颗粒联合提肛训练对中低位直肠癌Dixon术后肛门功能障碍的近期疗效评价[J].岭南现代临床外科,2023,23(5):410-414,5.基金项目
佛山市科技局立项课题(2020001005319) （2020001005319）
