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自动弹力线痔套扎术在重度混合痔中的应用价值

Application Value of Automatic Elastic Thread Hemorrhoid Ligation in Se⁃vere Mixed Hemorrhoids
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摘要 目的 探讨自动弹力线痔套扎术在重度混合痔中的临床应用价值。方法 目的选取2022年2月—2023年2月徐州市中医院收治的80例重度混合痔者为研究对象。按照治疗方式不同分为两组,各40例。对照组使用传统的外剥内扎术治疗,观察组行自动弹力线痔套扎术治疗。比较两组术后1个月肛门坠胀评分与静息时肛直角,统计两组并发症及术后复发率。结果 观察组术后1个月肛门坠胀评分为(1.8±0.1)分、静息时肛直角为(117.2±3.2)°,低于对照组的术后1个月肛门坠胀评分(2.1±0.3)分、静息时肛直角(125.0±5.6)°,差异有统计学意义(t=6.000、7.649,P均<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后1年复发例数为1例,对照组术后复发例数为11例,观察组的复发率低于对照组,差异有统计学意义(P<0.05)。结论 自动弹力线痔套扎术治疗重度混合痔,可有效缓解术后肛门不适,改善静息时肛直角,且并发症少,术后复发率低。 Objective To explore the clinical application value of automatic elastic thread hemorrhoid ligation in severe mixed hemorrhoids.Methods Eighty cases of severe mixed hemorrhoids admitted to Xuzhou Hospital of Traditional Chinese Medicine from February 2022 to February 2023 were purposelully selected as the study subjects.According to different treatment methods,they were divided into two groups,forty cases in each group.The control group was treated with traditional external stripping and internal ligation,and the observation group was treated with automatic elastic line hemorrhoids ligation.The anal bulge score and anal right angle at rest were compared between the two groups at 1 month after operation.The complications and postoperative recurrence rate of the two groups were counted.Results The anal bulge score of the observation group at 1 month after operation was 1.8±0.1,and the anal straight angle at rest was(117.2±3.2)°,which was lower than that of the control group at 1 month after operation 2.1±0.3,and the anal straight angle at rest was(125.0±5.6)°,the differences were statistically significant(t=6.000,7.649,both P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The number of recurrence cases in the observation group was 1 case at 1 year after operation,and the number of recurrence cases in the control group was 11 cases.The recurrence rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Automatic elastic line hemorrhoid ligation in the treatment of severe mixed hemorrhoids can effectively relieve postoperative anal discomfort,improve the anal right angle at rest,with fewer complications and low postoperative recurrence rate.
作者 张楠 ZHANG Nan(Department of Anorectal,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,Jiangsu,China)
出处 《系统医学》 2024年第21期73-75,102,共4页 Systems Medicine
关键词 自动弹力线痔套扎 外剥内扎术 重度 混合痔 Automatic elastic thread hemorrhoid ligation External stripping and internal ligation Severe Combined hemorrhoid
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