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弹力线低压套扎加外痔切除部分缝闭联合耳穴压籽在混合痔快速康复中的应用 被引量:4

Application of RPH-4 and LES Combined with Ear Seeds in Treatment of Mixed Hemorrhoid in FTS
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摘要 目的 LES术联合耳穴压籽在混合痔FTS治疗理念中的应用价值。方法将210例混合痔患者随机分成3组,A组采用LES术联合耳穴压籽治疗,B组采用LES术治疗,C组采用TST加外痔切除术治疗。通过患者术中及术后情况以判定3组疗效。结果 A、B、C 3组术后7天疼痛均有显著缓解,且A组更具优势。A、B组在手术时间、术中出血量、术后继发大出血、创缘水肿、肛内坠胀、尿潴留方面优于C组(P<0.05),A组更具优势;通过患者术后6个月随访,3组在便血、内痔脱出、肛门溢液、异物刺激方面,A、B组优于C组(P<0.05)。结论 LES术联合耳穴压籽在混合痔FTS治疗中有良好的临床疗效。 Objective The value of LES combined with ear seeds in the treatment of mixed hemorrhoid in fast track surgery(FTS).Methods A total of 210 patients with mixed hemorrhoids were randomly divided into three groups.Group A was treated with RPH-4 in combination with LES and ear seeds.Group B was treated with RPH-4 in combination with LES.Group C was treated with TST and external hemorrhoidectomy.Three groups were evaluated intraoperative and postoperative conditions.Results 7 days after operation,pain in groups A,B,and C was significantly relieved,while group A was more superior.Group A and group B were superior to group C in operation time,intraoperative blood loss,postoperative secondary bleeding,wound edema,anal internal flatulence and urinary retention retention(P<0.05).Group A was more superior.After 6 months follow-up,patients in group A and B were better than those in group C in blood in the stool,internal hemorrhoids,anal discharge,and foreign body stimulation(P<0.05).Conclusion LES combined with ear seeds has a good clinical effect in the treatment of mixed hemorrhoid in FTS.
作者 路越 LU Yue(The Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110003,Liaoning,China)
出处 《辽宁中医杂志》 CAS 2021年第2期107-110,共4页 Liaoning Journal of Traditional Chinese Medicine
基金 辽宁省教育厅计划项目(L201633)。
关键词 耳穴压籽 自动弹力线套扎器 混合痔 疗效 快速康复外科 ear seeds RPH-4 mixed hemorrhoid curative effect fast track surgery
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