摘要
目的分析吻合器痔环切术(PPH)联合部分肛门内括约肌切断术治疗重度混合痔的远期疗效。方法选取2018年2月至11月济南市第三人民医院肛肠科进行重度混合痔治疗的68例患者为研究对象,将其随机分为对照组和研究组,每组34例。对照组采用常规治疗方法,研究组采用PPH、部分肛门内括约肌切断术联合治疗方法。比较两组治疗效果。结果对照组不良事件发生率高于研究组,差异有统计学意义,(P<0.05);对照组愈合时间、拆线时间、手术时间长于研究组,差异有统计学意义,(P<0.05);对照组复发率高于研究组,差异有统计学意义(P<0.05)。结论PPH、部分肛门内括约肌切断术联合治疗重症混合痔患者,治疗效果显著,值得临床应用推广。
Objective To analyze the long-term efficacy of procedure for prolapsing hemorrhoids (PPH) combined with partial anal internal sphincterectomy in the treatment of severe mixed hemorrhoids. Methods Sixty-eight patients with severe mixed hemorrhoids in Department of Anorectal Surgery of Jinan Third People’s Hospital from February 2018 to November 2018 were randomly divided into control group and study group, with 34 cases in each group. The control group was treated with routine treatment, while the study group was treated with PPH and partial internal anal sphincterotomy. The therapeutic effects of the two groups were compared. Results The incidence of adverse events in the control group was higher than that in the study group, with statistical significance (P<0.05). The healing time, thread removal time, operation time in control group were more than those in study group, with statistical significance (P<0.05). The recurrence rate in the control group was higher than that in the study group, with statistical significance (P<0.05). Conclusions PPH combined with partial internal anal sphincterotomy has remarkable effects in the treatment of severe mixed hemorrhoids patients, so it is worthy of clinical application and promotion.
作者
刘旭昌
郭芳
Liu Xuchang;Guo Fang(Department of Anorectal Surgery,Jinan Third People's Hospital,Jinan 250132,China)
出处
《中国实用医刊》
2019年第18期76-78,共3页
Chinese Journal of Practical Medicine
关键词
混合痔
约肌切断术
吻合器痔环切术
Mixed hemorrhoids
Myotomy
Procedure for prolapsing hemorrhoids
