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微创痔疮手术治疗严重痔疮患者的临床效果分析

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目的 评估微创痔疮手术应用在严重痔疮患者中的临床效果.方法 目的选取2021年8月—2023年8月湖北省康复医院的118例严重痔疮患者为研究对象,依据手术方式不同分为对照组(59例,给予传统手术)、观察组(59例,给予微创痔疮手术),评价组间手术相关参数、肛肠动力学[直肠静息压(Rectal Resting Pressure,RRP)、直肠最大耐受容积(Maximum Tolerable Rectal Volume,MTV)、肛管最大收缩压(Maximum Sys-tolic Pressure In Anal Canal,MSP)]、炎症介质[白细胞介素-6(Interleukin-6,IL-6)、C反应蛋白(C-reactive Pro-tein,CRP)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)]、术后并发症.结果 较之对照组,观察组手术相关参数更佳,差异有统计学意义(P均<0.05);术后,观察组RRP、IL-6、CRP、TNF-α更低,MTV、MSP更高,差异有统计学意义(P均<0.05);观察组术后并发症发生率(3.39%)低于对照组(15.25%),差异有统计学意义(χ2=4.913,P<0.05).结论 对严重痔疮患者实施微创痔疮手术,可以优化手术相关参数,减少炎症介质释放,降低术后并发症发生率,加之不易影响肛肠动力学,有临床借鉴意义.
Clinical Effect Analysis of Minimally Invasive Hemorrhoid Surgery for Pa-tients with Severe Hemorrhoids
Objective To assess the clinical effect of minimally invasive hemorrhoid surgery application in patients with severe hemorrhoids.Methods 118 patients with severe hemorrhoids in Hubei Provincial Rehabilitation Hospital from August 2021 to August 2023 were purposefully selected as study objects,and were divided into a control group(59 cases,traditional surgery was given),and an observation group(59 cases,minimally invasive hemorrhoidal surgery was given)by different surgical methods.Surgery-related parameters,anorectal dynamics[rectal resting pressure(RRP),maximum tolerable rectal volume(MTV),maximum systolic pressure in anal canal(MSP)],inflammatory media-tors[interleukin-6(IL-6),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)],and postoperative complica-tions were evaluated between the groups.Results Compared with the control group,the observation group had better surgery-related parameters,and the differences were statistically significant(all P<0.05).Postoperatively,RRP,IL-6,CRP,and TNF-α were lower,and MTV and MSP were higher in the observation group,and the differences were statis-tically significant(all P<0.05).The incidence of postoperative complications in the observation group(3.39%)was lower than that in the control group(15.25%),and the difference was statistically significant(χ2=4.913,P<0.05).Conclusion Minimally invasive hemorrhoid surgery for patients with severe hemorrhoids can optimize the parameters related to surgery,reduce the release of inflammatory mediators,and reduce the incidence of postoperative complica-tions,and it is not easy to affect the anorectal dynamics,which is clinically relevant.

Minimally invasive hemorrhoid surgerySevere hemorrhoidsAnal dynamicsInflammatory mediators

杨子江、李霞霞、方泰明

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湖北省直属机关医院(湖北省康复医院)肛肠科,湖北 武汉 430071

微创痔疮手术 严重痔疮 肛肠动力学 炎症介质

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(12)
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