中国实用妇科与产科杂志2025，Vol.41Issue(5)：497-502,6.DOI:10.19538/j.fk2025050106
基于盆底整体理论的直肠前突诊疗策略
Diagnosis and treatment strategy for rectocele based on integral theory of pelvic floor
摘要
Abstract
Rectocele is a common cause of functional defecation disorder,which is mostly found in multiparas and in women in the middle and old age,and it seriously affects the quality of life of patients.At present,its pathogenesis is still unclear,and the effect of surgical treatment varies greatly,the causes of which are mostly rectocele and rectal mucosal prolapse;meanwhile,most patients also have mental and psychological abnormalities and/or rectal paresthesia.Our center reclassified the basic elements of functional defecation disorder,analyzed the functional defecation disorder caused by rectocele from multiple aspects such as anatomical factors,physiological factors and psychological factors,and used neuromodulators as preparation for surgery(psychosomatic treatment),so as to improve the psychological state and nervous system function of patients,all of which created better conditions for surgical treatment.During the operation,ligament and fascia were repaired under the guidance of the integral theory of pelvic floor,and the perineal body was elevated.After the operation,such treatment as electromagnetic biofeedback,traditional Chinese acupuncture,intestinal microecology(a combination of Chinese and Western treatment)were provided to regulate the movement of qi and blood in the body and the function of the viscera,assist the recovery of pelvic floor function,enhance or maintain the effect of treatment for rectocele progess,and improve the quality of life of patients.关键词
直肠前突/功能性排便障碍/心身同治/盆底整体理论/手术Key words
rectocele/functional defecation disorder/psychosomatic treatment/integral theory of pelvic floor/operation分类
临床医学引用本文复制引用
李肖亮,赵治峰,李欣雨,黄钦贤,杨斌,赵青川..基于盆底整体理论的直肠前突诊疗策略[J].中国实用妇科与产科杂志,2025,41(5):497-502,6.基金项目
西安市创新能力强基计划-医学研究项目(21YXYJ0135) （21YXYJ0135）
西安市卫生健康委一般研究项目(2023yb53) Xi'an Innovation Ability Strong Foundation Program-Medical Research Project(21YXYJ0135) （2023yb53）
General Research Project of Xi'an Municipal Health Commission Project(2023yb53) （2023yb53）
