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首页> 外文期刊>Surgical innovation >Stapled trans-anal rectal resection (STARR) in the surgical treatment of the obstructed defecation syndrome: Results of Starr Italian registry
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Stapled trans-anal rectal resection (STARR) in the surgical treatment of the obstructed defecation syndrome: Results of Starr Italian registry

机译：经吻合肛门直肠切除术（STARR）在梗阻性排便综合征的手术治疗中：Starr Italian Registry的结果

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Purpose: This study was designed to evaluate the safety and efficacy of Stapled Trans-Anal Rectal Resection (STARR) in the treatment of Obstructed Defecation Syndrome ODS by the analysis of the data collected in the STARR Italian Registry (SIR) with a special emphasis on the analysis of symptoms and quality of life. Methods: Collected data included, preoperative tests findings, and the evaluation of symptoms; the latter was obtained by using dedicated tools such as the Obstructed Defecation Syndrome Score (ODS-S), the Severity Symptom Score (SSS), and the Continence Grading Scale (CGS). Data on the quality of life were collected by Patient Assessment of Constipation Quality of Life (PAC-QoL) and the Euro Quality of Life-5 Domains Visual Analogue Scale (EQ-5D VAS). The evaluation of the symptoms and the quality of life was repeated 6 and 12 months after surgery. Results: The SIR had collected data on 2171 patients (1653 females, 76.1%; mean age 56.2years; range 20-96 years). A significant improvement (P <.0001) was seen between preoperative and 12-month follow-up in all scores: ODS-S (16.7 vs 5.0), SSS (15.6 vs 2.6), CGS (2.0 vs 0.7), PAC-QoL (51.0 vs 22.1), and EQ-5D VAS (57.5 vs 85.7). Complications included defecatory urgency (4.5% at 12 months), bleeding (3.6%), perineal sepsis (3.4%), and one case of rectovaginal fistula (0.05%). Conclusion: The analysis of SIR data seems to confirm that STARR is a safe and effective procedure in the treatment of ODS. However, further studies are required to evaluate the long-term stability of results.
机译：目的：本研究旨在通过分析STARR意大利注册中心（SIR）中收集的数据来评估吻合钉经肛门直肠切除术（STARR）在阻塞性排便综合征ODS中的安全性和有效性。症状和生活质量的分析。方法：收集的数据包括术前检查结果和症状评估。后者是通过使用专用工具获得的，例如阻塞性排便综合症评分（ODS-S），严重症状评分（SSS）和自控评分量表（CGS）。通过患者便秘生活质量评估（PAC-QoL）和欧洲生活质量5域视觉模拟量表（EQ-5D VAS）收集生活质量数据。术后6个月和12个月，对症状和生活质量进行评估。结果：SIR收集了2171例患者的数据（1653名女性，占76.1％;平均年龄56.2岁;范围20-96岁）。术前和12个月随访之间所有评分均有显着改善（P <.0001）：ODS-S（16.7 vs 5.0），SSS（15.6 vs 2.6），CGS（2.0 vs 0.7），PAC-QoL （51.0 vs 22.1）和EQ-5D VAS（57.5 vs 85.7）。并发症包括排便急迫（12个月时为4.5％），出血（3.6％），会阴败血症（3.4％）和一例直肠阴道瘘（0.05％）。结论：对SIR数据的分析似乎证实STARR是治疗ODS的安全有效方法。但是，需要进一步的研究来评估结果的长期稳定性。

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