摘要
目的探讨皮桥离断缩短缝合术在外剥内扎术(MMH)治疗环状混合痔患者中的应用效果。方法按随机数字表法将2022年9月至2023年10月于医院治疗的60例环状混合痔患者分为两组,各30例。对照组采用MMH治疗,试验组采用MMH联合皮桥离断缩短缝合术治疗。比较两组治疗总有效率、术后3 d肛周视觉模拟评分法(VAS)评分、伤口愈合时间、住院时间及并发症发生率。结果试验组治疗总有效率高于对照组,伤口愈合及住院时间短于对照组,术后3 d肛周VAS评分及并发症总发生率低于对照组,差异均有统计学意义(P<0.05)。结论皮桥离断缩短缝合术应用于MMH治疗环状混合痔患者中,可提高治疗总有效率、缩短伤口愈合时间和住院时间、减轻术后肛周疼痛程度、降低并发症发生风险。
Objective To explore the application effect of dermatomal bridge dissection and shortening suture in the treatment of patients with circumferential mixed hemorrhoids by Milligan-Morgan hemorrhoids(MMH).Methods According to the random number table method,60 patients with circumferential mixed hemorrhoids treated in the hospital from September 2022 to October 2023 were divided into two groups,with 30 patients in each group.With the use of MMH treatment in the control group,and MMH treatment combined with dermatomal bridge dissection and shortening suture in the experimental group,the total effective rate of treatment,wound healing time,postoperative 3-days perianal visual analogue scale(VAS)score,length of hospital stay,and incidence of complications were compared between the two groups.Results The total effective rate in the experimental group was higher than that in the control group,and wound healing time and the length of hospital stay were shorter than the control group.In addition,the postoperative 3-days perianal VAS score and total incidence of complications were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of dermatomal bridge dissection and shortening suture in the treatment of patients with circumferential mixed hemorrhoids by MMH can improve the total effective rate,shorten wound healing time and the length of hospital stay,reduce the degree of postoperative perianal pain,and reduce the risk of complications.
作者
廖振华
彭利敏
黄红根
刘艳
黄海鹏
简弄根
付佳美
Liao Zhenhua;Peng Limin;Huang Honggen;Liu Yan;Huang Haipeng;Jian Nonggen;Fu Jiamei(Xinyu Traditional Chinese Medicine Hospital,Xinyu Jiangxi 338000,China)
出处
《医疗装备》
2024年第21期5-8,共4页
Medical Equipment
基金
新余市社会发展指导性科技计划项目(20233090939)。
关键词
皮桥离断缩短缝合术
环状混合痔
外剥内扎术
肛周疼痛
并发症
Dermatomal bridge dissection and shortening suture
Circumferential mixed hemorrhoids
Milligan-Morgan hemorrhoids
Perianal pain
Complication
