摘要
目的探讨自动弹力线套扎术联合外剥内套法治疗重度(Ⅲ~Ⅳ度)混合痔的疗效。方法将80例重度混合痔患者随机分为观察组和对照组,每组40例。观察组采用自动弹力线套扎术联合外剥内套法治疗,对照组采用吻合器痔上黏膜环切术治疗。比较两组患者临床疗效、手术相关指标、术后并发症发生情况。结果两组患者临床疗效的总有效率差异无统计学意义(P>0.05)。观察组手术时间、术中出血量、术后住院时间及术后疼痛视觉模拟量表评分均短于或低于对照组,且术后肛门坠胀和肛门皮赘的发生率均低于对照组(均P<0.05),而两组患者术后尿潴留和术后出血的发生率差异无统计学意义(P>0.05)。结论自动弹力线套扎术联合外剥内套法治疗重度混合痔疗效确切,相较于吻合器痔上黏膜环切术更能减少患者手术时间、术中出血量及术后并发症的发生,促进患者康复。
Objective To investigate the efficacy of automatic elastic thread ligation combined with external stripping and internal ligation for the treatment of severe(gradeⅢ-Ⅳ)mixed hemorrhoids.Methods Eighty cases of severe mixed hemorrhoids were randomly divided into observation group and control group,with 40 cases in each group.The observation group was treated with automatic elastic thread ligation combined with external stripping and internal ligation,while the control group underwent procedure for prolapse and hemorrhoids using stapler.Clinical efficacy,operation-related indexes,and incidence of postoperative complications were compared between the two groups.Results There was no statistically significant difference in total clinical effectiveness between the two groups(P>0.05).The observation group exhibited shorter operation duration,less intraoperative blood loss,shorter postoperative hospital stay,and lower postoperative score on the Visual Analogue Scale as compared with the control group,along with lower incidence rates of postoperative anal swelling and anal skin tags(all P<0.05),whereas there was no statistically significant difference in incidence rate of postoperative urinary retention or postoperative bleeding between the two groups(P>0.05).Conclusion Automatic elastic thread ligation combined with external stripping and internal ligation achieves a definite efficacy for the treatment of severe mixed hemorrhoids,and the procedure can reduce patients′operation duration,intraoperative blood loss and incidence of postoperative complications,and promote the recovery of patients as compared with procedure for prolapse and hemorrhoids using stapler.
作者
郭昌
吕智豪
赵文韬
胡丰良
GUO Chang;LYU Zhi-hao;ZHAO Wen-tao;HU Feng-liang(The First Clinical School of Medicine,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Department of Anorectal Medicine,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)
出处
《广西医学》
CAS
2020年第20期2646-2649,共4页
Guangxi Medical Journal
基金
广东省中医药局科研项目(20191103)。
关键词
重度混合痔
自动弹力线套扎术
外剥内套法
吻合器痔上黏膜环切术
疗效
Severe mixed hemorrhoids
Automatic elastic thread ligation
External stripping and internal ligation
Procedure for prolapse and hemorrhoids using stapler
Efficacy
