首页|RPH联合高悬低切术治疗环状混合痔临床疗效与安全性探讨

RPH联合高悬低切术治疗环状混合痔临床疗效与安全性探讨

Clinical efficacy and safety of RPH combined with high suspension and low dissection in the treatment of circumferential mixed hemorrhoids

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目的:探讨RPH联合高悬低切术治疗环状混合痔的临床疗效及安全性.方法:取医院收治的环状混合痔患者120例作为研究对象,按数字表法将其随机分为对照A组(40例)、对照B组(40例)和观察组(40例).对照A组给予吻合器痔上黏膜环切术(PPH)治疗,对照B组给予外剥内扎术(MMH)联合自动弹力线痔套扎术(RPH)治疗,观察组给予RPH联合高悬低切术治疗.结果:观察组患者临床治疗的总有效率高于对照A组、对照B组(P<0.05).观察组患者在伤口出血持续时间、创面愈合时间、术后伤口疼痛持续时间、住院时间均短于对照A组、对照B组,术中出血量低于对照组(P<0.05).观察组患者术后并发症发生率明显低于对照A组、对照B组(P<0.05).结论:在环状混合痔的患者中,RPH联合高悬低切术可有效缓解疼痛和水肿症状,加速伤口愈合,降低并发症发生率,保护肛门功能.
Objective:To explore the clinical efficacy and safety of RPH combined with high suspension low resection surgery for the treatment of circular mixed hemorrhoids. Method:120 patients with circular mixed hemorrhoids admitted to our hospital were selected as the study subjects. They were randomly divided into control group A (n=40), control group B (n=40), and observation group (n=40) using a digital table method. Result: The total effective rate of clinical treatment in the observation group was higher than that in the control group A, while in the control group B (P<0.05).The observation group had shorter duration of wound bleeding, wound healing time, postoperative wound pain duration, and hospital stay than the control group A, while the control group B had shorter duration of intraoperative bleeding.The blood volume was lower than that of the control group (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group A, while in the control group B (P<0.05). Conclusion: In symptoms, accelerate wound healing, reduce the incidence of complications, and protect anal function.

high hanging low incision surgeryRPHcircular mixed hemorrhoids

傅跃权、梁竞丹、甘宝三

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东莞市凤岗医院肛肠外科 广东东莞 523695

高悬低切术 RPH 环状混合痔

东莞市社会发展科技项目

20211800901932

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(1)
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