摘要
目的评价自动弹力线痔套扎术联合痔切除术治疗直肠黏膜内脱垂合并混合痔的临床疗效。方法选取2019年11月至2021年11月在我院接受治疗的60例直肠黏膜内脱垂合并混合痔的患者为研究对象,随机分为对照组(采用直肠黏膜点状结扎术联合痔切除术治疗)与观察组(采用自动弹力线痔套扎术联合痔切除术治疗),每组各30例。比较两组临床疗效、便秘症状积分、术后并发症发生情况及复发情况。结果两组治疗总有效率均为100%。观察组疗效优于对照组,且治愈率高于对照组,差异均有统计学意义(均P<0.05)。术前,两组便秘症状积分比较差异无统计学意义(P>0.05);术后,两组便秘症状积分低于术前,且观察组便秘症状积分低于对照组,差异均有统计学意义(均P<0.05)。观察组并发症总发生率为10%(3/30),低于对照组的33.3%(10/30),差异有统计学意义(P<0.05)。术后随访1年,无失访病例,观察组的复发率为3.3%(1/30),对照组相应为26.7%(8/30),两组比较差异有统计学意义(P<0.05)。结论自动弹力线痔套扎术联合痔切除术治疗直肠黏膜内脱垂合并混合痔疗效确切,相比直肠黏膜点状结扎术联合痔切除术,可提高治愈率,有效改善患者术后便秘症状,降低术后并发症总发生率和复发率,具有良好的临床应用价值。
Objectives To evaluate the efficacy of Ruiyun procedure for hemorrhoids(RPH)combined with hemorrhoidectomy in the treatment of rectal intramucosal prolapse with mixed hemorrhoids.Methods A total of 60 patients with rectal intramucosal prolapse combined with mixed hemorrhoids treated in our hospital from November 2019 to November 2021 were recruited.They were randomly divided into the control group(treated with rectal mucosal point by point ligation combined with hemorrhoidectomy)and the observation group(treated with RPH combined with hemorrhoidectomy),with 30 cases in each group.The clinical efficacy,constipation symptom score,postoperative complications,and recurrence were compared between the two groups.Results The total efficacy rate was 100%in both groups.The curative effect of the observation group was better than that of the control group,and the cure rate was higher than that of the control group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in constipation symptom scores between the two groups(P>0.05).After operation,the constipation symptom score of the two groups was lower than that before operation,and the constipation symptom score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 10%(3/30),which was lower than 33.3%(10/30)in the control group,and the difference was statistically significant(P<0.05).No patients were lost to follow-up for 1 year after operation.The recurrence rate in the observation group was 3.3%(1/30),which was 26.7%(8/30)in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion RPH combined with hemorrhoidectomy for rectal intramucosal prolapse with mixed hemorrhoids is effective.Compared with rectal mucosal point by point ligation combined with hemorrhoidectomy,it can improve the cure rate,effectively improve postoperative constipat
作者
祝丽丽
罗壮
Zhu Lili;Luo Zhuang(Department of Proctology,Huai’an Hospital of Traditional Chinese Medicine,Huai’an 223001,Jiangsu,China)
出处
《结直肠肛门外科》
2022年第4期379-382,共4页
Journal of Colorectal & Anal Surgery
关键词
直肠黏膜内脱垂
混合痔
自动弹力线痔套扎术
直肠黏膜点状结扎术
痔切除术
rectal intramucosal prolapse
mixed hemorrhoids
Ruiyun procedure for hemorrhoids
rectal mucosal point by point ligation
hemorrhoidectomy
