摘要
目的探讨自动痔疮套扎术(Ruiyun procedure for hemorrhoids,RPH)联合外剥内扎术(Milligan-Morgan,M-M术)治疗混合痔的临床效果。方法选择2016年1月1日至2020年3月1日期间罗定市人民医院普外科收治的Ⅲ~Ⅳ度混合痔患者145例,按照随机数字表法分为对照组和观察组。对照组70例,男30例,女40例,年龄(44.97±9.86)岁,给予传统的M-M术治疗;观察组75例,男32例,女43例,年龄(45.83±10.27)岁,采用RPH联合M-M术治疗,并比较两组治疗效果、围术期指标及不良反应发生率、痔疮复发率。采用独立样本t检验和χ^(2)检验。结果观察组手术时间及创面愈合时间均短于对照组(t=7.135、5.986,均P<0.05),术中出血量明显少于对照组(t=6.372,P<0.05);观察组总有效率为100.00%(75/75),对照组为100.00%(70/70),差异无统计学意义(P>0.05);观察组术后随访3个月并发症发生率2.67%(2/75),6个月复发率1.33%(1/75),明显低于对照组的10.00%(7/70)、7.14%(5/70)(χ^(2)=3.345、3.081,均P<0.05)。结论RPH联合M-M术治疗混合痔疗效肯定,有效缩短了手术时间及创面愈合时间,减少了术中出血量,显著降低了并发症发生率及复发率。
Objective To investigate the clinical effect of Ruiyun procedure for hemorrhoids(RPH)combined with Milligan-Morgan(M-M procedure)in the treatment of mixed hemorrhoids.Methods From January 1,2016 to March 1,2020,145 patients with mixed hemorrhoids of grade Ⅲ to Ⅳ who were admitted to Department of General Surgery,Luoding People's Hospital were selected and divided into a control group and an observation group by the random number table method.The control group had 70 cases,including 30 males and 40 females who were(44.97±9.86)years old,and were treated with M-M procedure.The observation group had 75 cases,including 32 males and 43 females who were(45.83±10.27)years old,and were treated with RPH and M-M procedure.The therapeutic effects,perioperative indicators,incidences of adverse reactions,and recurrence rates of hemorrhoids were compared between these two groups.The independent-sample t and χ^(2) tests were applied.Results The operation time and wound healing time of the observation group were shorter than those of the control group(t=7.135 and 5.986,both P<0.05);the intraoperative bleeding volume of the observation group was significantly less than that of the control group(t=6.372,P<0.05).The total effective rate was 100.00%(75/75)in the observation group,and was 100.00%(70/70)in the control group,with no statitical difference(P>0.05).The incidence of complications during 3 months'follow up after the operation and the 6-month recurrence rate were 2.67%(2/75)and 1.33%(1/75)in the observation group,and were 10.00%(7/70)and 7.14%(5/70)in the control group,with statistical differences(χ^(2)=3.345 and 3.081,both P<0.05).Conclusion RPH combined with M-M procedure in the treatment of mixed hemorrhoids is effective and can effectively shorten the operation time and wound healing time,and reduce intraoperative bleeding volume,complications,and recurrence.
作者
张传泽
杨晓朝
彭如一
谢永灿
邢专
陈朴区
Zhang Chuanze;Yang Xiaozhao;Peng Ruyi;Xie Yongcan;Xing Zhuan;Chen Puqu(Department of General Surgery,Luoding People's Hospital,Yunfu 527200,China)
出处
《国际医药卫生导报》
2022年第15期2140-2143,共4页
International Medicine and Health Guidance News
基金
云浮市科技计划项目(210604105440338、20210302)。
关键词
混合痔
自动痔疮套扎术
外剥内扎术
Mixed hemorrhoids
Ruiyun procedure for hemorrhoids
Milligan-Morgan
