摘要
目的:探讨内痔胶圈套扎外痔切除加皮桥弧形切除缝合术治疗混合痔患者的效果。方法:将2019年1月-2021年12月宿迁市中医院104例混合痔患者用随机数字表法分为常规组、观察组,每组52例。常规组给予皮桥弧形切除缝合术治疗,观察组给予内痔胶圈套扎外痔切除加皮桥弧形切除缝合术治疗,治疗后随访3个月。记录患者的手术相关指标、视觉模拟疼痛评分(VAS)、并发症及复发情况。结果:观察组手术时间长于常规组(P<0.05),术中出血量少于常规组(P<0.05)。两组患者术前的VAS评分对比差异无统计学意义(P>0.05),两组术后6、9 h VAS评分低于术前,术后9 h的VAS评分均低于术后6 h(P<0.05),观察组术后6、9 h的VAS评分低于常规组(P<0.05)。观察组患者术后发生创面水肿1例,肛门坠胀1例,常规组患者术后发生肛门坠胀3例,创面水肿3例,大便失禁2例,观察组并发症发生率为3.85%,低于常规组的15.38%(P<0.05)。观察组复发2例,复发率为3.85%,常规组复发10例,复发率为19.23%,观察组复发率低于常规组(χ^(2)=6.029,P<0.05)。结论:内痔胶圈套扎外痔切除加皮桥弧形切除缝合术治疗混合痔可减少术中出血量,缓解疼痛,安全性良好,降低复发风险,值得推广。
Objective:To investigate the effect of internal hemorrhoid rubber band ligation external hemorrhoidectomy skin bridge arc resection and suture in the treatment of patients with mixed hemorrhoids.Method:A total of 104 patients with mixed hemorrhoids from January 2019 to December 2021 in Suqian Hospital of Traditional Chinese Medicine were randomly divided into conventional group and observation group,with 52 cases in each group.The conventional group was treated with skin bridge arc excision and suture,while the observation group was treated with internal hemorrhoid rubber band ligation external hemorrhoidectomy plus skin bridge arc excision and suture with internal hemorrhoids apron.The operation indicators,visual analogue scale(VAS)of pain,complications and recurrence were recorded.Result:The operation time of the observation group was longer than that of the conventional group(P<0.05),and the intraoperative blood loss was less than that of the conventional group(P<0.05).There was no difference in VAS score between the two groups before operation(P>0.05).The VAS scores at 6 h and 9 h after operation were lower than those before operation,VAS scores at 9 h after operation were lower than those at 6 h after operation(P<0.05).The VAS scores at 6 h and 9 h in the observation group were lower than those in the conventional group(P<0.05).There was 1 case of wound edema and 1 case of anal distension in the observation group,and 3 cases of anal distension,3 cases of wound edema and 2 cases of fecal incontinence in the conventional group.The incidence of complications in the observation group was 3.85%,which was lower than 15.38%in the conventional group(P<0.05).There were 2 cases of recurrence in the observation group,with a recurrence rate of 3.85%,and 10 cases in the conventional group,with a recurrence rate of 19.23%.The recurrence rate in the observation group was lower than that in the conventional group(χ~2=6.029,P<0.05).Conclusion:The treatment of mixed hemorrhoids with internal hemorrhoid rubber band ligation,external hemorrhoidectomy and skin bridge arc resection and suture can reduce the amount of bleeding during operation,relieve pain,have good safety and reduce the risk of recurrence.It is worth popularizing.
作者
吕梅
丁康
LYU Mei;DING Kang(Suqian Hospital of Traditional Chinese Medicine,Suqian 223800,China;不详)
出处
《中外医学研究》
2022年第28期11-14,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
宿迁市科技计划项目(自然科学基金)(K202144)
江苏省中医药科技发展计划一般项目(YB2020029)。
关键词
混合痔
内痔胶圈套扎外痔切除
皮桥弧形切除缝合术
术中出血量
Mixed hemorrhoids
Internal hemorrhoids rubber band ligation external hemorrhoids resection
Skin bridge arc resection and suture
Intraoperative bleeding volume
