首页|吻合器痔上黏膜环切术联合括约肌折叠术治疗轻度直肠脱垂的疗效及安全性分析

吻合器痔上黏膜环切术联合括约肌折叠术治疗轻度直肠脱垂的疗效及安全性分析

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目的 探讨吻合器痔上黏膜环切术(PPH)联合括约肌折叠术治疗轻度直肠脱垂的疗效及安全性.方法 选取我院 2019 年 6 月—2023 年5 月收治的 150 例轻度直肠脱垂患者为研究对象,按随机数字表法分为对照组与观察组,各75例.对照组采用直肠黏膜注射硬化剂及柱状缝合术治疗,观察组采用PPH联合括约肌折叠术治疗.比较两组患者的临床疗效、肛门恢复情况、疼痛程度及并发症发生情况.结果 观察组临床总有效率为 93.33%,高于对照组的82.67%,差异有统计学意义(P<0.05).观察组排气时间为(19.31±2.73)h,排便恢复时间为(28.03±3.42)h,创面愈合时间为(7.37±1.76)d,均短于对照组,组间差异有统计学意义(P<0.05).治疗后,疼痛视觉模拟评分为(2.85±1.40)分,低于对照组,差异有统计学意义(P<0.05).观察组并发症发生率为 5.00%,低于对照组的 16.00%,差异有统计学意义(P<0.05).结论 PPH联合括约肌折叠术可有效促进肛门功能恢复,缩短伤口愈合时间,减轻疼痛,且并发症少,安全可靠.
Analysis of the Efficacy and Safety of Proceedure for Prolapse and Hemorrhoids Combined with Sphincter Folding Surgery in the Treatment of Mild Rectal Prolapse
Objective To explore the efficacy and safety of proceedure for prolapse and hemorrhoids(PPH)combined with sphincter folding surgery in the treatment of mild rectal prolapse.Methods 150 patients with mild rectal prolapse admitted to our hospital from June 2019 to May 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 75 cases in each group.The control group was treated with rectal mucosal injection of sclerosing agent and column suture,and the observation group was treated with PPH combined with sphincter folding.The clinical efficacy,anal recovery,pain degree and complications were compared between the two groups.Results The total clinical effective rate of the observation group was 93.33%,which was higher than 82.67%of the control group,and the difference was statistically significant(P<0.05).The exhaust time of the observation group was(19.31±2.73)h,the defecation recovery time was(28.03±3.42)h,and the wound healing time was(7.37±1.76)d,all of which were shorter than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the pain Visual Analogue Score was(2.85±1.40)points,which was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion PPH combined with sphincter folding surgery can effectively promote the recovery of anal function,shorten wound healing time,reduce pain,and have fewer complications,which is safe and reliable.

Mild rectal prolapseproceedure for prolapse and hemorrhoidsSphincter folding surgeryEfficacySecurity

张海鹏

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兰陵县人民医院肛肠外科,山东临沂 277700

轻度直肠脱垂 吻合器痔上黏膜环切术 括约肌折叠术 疗效 安全性

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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