选择性痔上黏膜切除术治疗混合痔的安全性及对预后的影响分析
Analysis of the Safety And Prognosis of the Treatment of Mixed Hemorrhoids with Selective Superior Hemorrhoidectomy
矫恒涛 1谢凯1
作者信息
- 1. 北京丰台医院甲乳疝肛肠外科,北京 100071
- 折叠
摘要
目的 探讨分析选择性痔上黏膜切除术治疗混合痔的安全性及对预后的影响.方法 研究对象为 2022 年 1 月至2023 年 12 月北京丰台医院甲乳疝肛肠外科收治的 100 例混合痔患者,随机分为两组,每组 50 例.对照组采用吻合器黏膜环切术(PPH)治疗,观察组采用选择性痔上黏膜切除术(TST)治疗.对比两组临床指标、肛肠动力学相关指标及并发症.结果 观察组手术时间、住院时间均较对照组短,术中出血量较对照组小,VAS 评分较对照组低,P<0.05.治疗后,观察组 HPZ较对照组更长,MSP及ARP较对照组更高,P<0.05.观察组并发症发生率较对照组更低,P<0.05.结论 对混合痔患者采用TST治疗的效果理想,创伤性小、疼痛程度轻,术后并发症少,有助于促进患者肛肠功能的恢复,缩短患者康复时间.
Abstract
Objective:To explore and analyze the safety of selective mucosal resection of hemorrhoids in the treatment of mixed hemorrhoids and its influence on prognosis.Methods:The subjects were 100 patients with mixed hemorrhoids who were admitted to the anorectal surgery department of nail hernia in Fengtai Hospital of Beijing from January 2022 to De-cember 2023.They were randomly divided into two groups,with 50 cases in each group.The control group was treated with PPH,while the observation group was treated with TST.The clinical indexes、anorectal dynamics related indexes and complications were compared between the two groups.Results:The operation time and hospitalization time in the observa-tion group were shorter than those in the control group,and the blood loss during operation was smaller and the VAS score was lower than that in the control group,P<0.05.After treatment,the HPZ of the observation group was longer than that of the control group,and the MSP and ARP were higher than that of the control group,P<0.05.The incidence of complications in the observation group was lower than that in the control group,P<0.05.Conclusion:TST is effective in the treatment of mixed hemorrhoids,with less trauma,less pain and fewer postoperative complications,which is helpful to promote the recovery of anorectal function and shorten the rehabilitation time of patients.
关键词
混合痔/选择性痔上黏膜切除术/吻合器黏膜环切术/并发症/预后Key words
Mixed hemorrhoids/Selective prolapse and hemorrhoidectomy/Stapler mucosal circumcision/Complication/Prognosis引用本文复制引用
基金项目
北京丰台医院院级科研项目(2022-16)
出版年
2024
国家科技期刊平台
NSTL
万方数据