摘要
目的:对比吻合器痔上黏膜环形切除术(PHH)与传统外剥内扎术治疗混合痔的临床疗效,为混合痔治疗术式的选择提供参考。方法:回顾性分析我院收治的84例混合痔患者的临床资料,根据手术方式的不同分为观察组(42例,采用PPH手术治疗)、对照组(42例,采用传统外剥内扎术治疗)。比较两组术中出血量、临床疗效、手术时间、住院时间、治疗费用、肛门功能评分、术后愈合时间及并发症情况,采用视觉模拟量表(VAS)评估两组手术前后疼痛情况。结果:两组治疗总有效率比较无差异(P>0.05)。与对照组相比,观察组手术时间、住院时间及术后愈合时间更短,术中出血量更少(P<0.05)。两组术后1 d、术后3 d的VAS评分较术前升高(P<0.05),与对照组比较,观察组术后1 d、术后3 d的VAS评分更低(P<0.05)。观察组肛门坠胀、控便失调发生率显著低于对照组(P<0.05)。结论:PPH手术治疗混合痔的临床疗效优于传统外剥内扎术,可明显减少患者术中出血量,缩短手术时间及术后愈合时间,减轻患者的疼痛。
Objective: To compare the clinical curative effect of procedure for prolapse and hemorrhoids(PHH) and traditional external stripping and internal ligation in the treatment of mixed hemorrhoids, so as to provide reference for the selection of surgical methods for mixed hemorrhoids. Methods: The clinical data of 84 patients with mixed hemorrhoids who were treated in our hospital were retrospectively analyzed. According to the different operation methods, they were divided into observation group(42 cases, treated with PPH operation) and control group(42 cases, treated with treated with traditional external stripping and internal ligation). The intraoperative blood loss, clinical efficacy, operation time, hospitalization time, treatment cost, anal function score, postoperative healing time and complications of the two groups were compared. The pain of the two groups before and after operation was analyzed by visual analogue scale(VAS). Results: There was no significant difference in the total effective rate between the two groups(P>0.05). Compared with the control group, the operation time, hospitalization time and postoperative healing time of the observation group were shorter, and the intraoperative blood loss was less(P<0.05). The VAS scores of the two groups at 1 d after operation and 3 d after operation were higher than those before operation(P<0.05), compared with the control group, the VAS scores of the observation group at 1 d after operation and 3 d after operation were lower(P<0.05). The incidence of anal distension and disorder of defecation control of the observation group was significantly lower than those of the control group(P<0.05). Conclusion: PPH operation in the treatment of mixed hemorrhoids is superior to the traditional external stripping and internal ligation, which can significantly reduce the intraoperative blood loss, shorten the operation and postoperative healing time, and reduce the pain of patients, and which has a certain clinical advantages.
作者
刘玮玮
蒋厚记
冯宏俊
王恒健
胡朝峰
LIU Wei-wei;JIANG Hou-ji;FENG Hong-jun;WANG Heng-jian;HU Zhao-feng(Department of General Surgery,West District of Hefei First People’s Hospital,Hefei,Anhui,230031,China)
出处
《现代生物医学进展》
CAS
2021年第17期3388-3391,共4页
Progress in Modern Biomedicine
基金
安徽省自然科学基金项目(1708085MH240)。
关键词
吻合器痔上黏膜环形切除术
混合痔
外剥内扎术
疗效
Procedure for prolapse and hemorrhoids
Mixed hemorrhoids
External stripping and internal ligation
Curative effect
