首页|混合痔悬吊荷包切除术在治疗重度混合痔中的临床效果及对患者肛管张力的影响

混合痔悬吊荷包切除术在治疗重度混合痔中的临床效果及对患者肛管张力的影响

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目的 选取重度混合痔患者,使用混合痔悬吊荷包切除术治疗,分析其临床效果及对肛管张力的影响。方法 选取 2022 年 4 月至 2023 年 3 月入商丘市中医院接受治疗的 200 例重度混合痔患者,电脑随机分为对照组及研究组,各 100 例。对照组采用外剥内扎手术治疗,研究组采用混合痔悬吊荷包切除术治疗。对比两组手术指标、创面愈合天数及肛管张力、疼痛评分、治疗有效率及不良反应。结果 研究组疼痛持续时间、术中累计出血量少于对照组,差异有统计学意义(P<0。05);研究组创面愈合天数少于对照组,肛管张力优于对照组,差异有统计学意义(P<0。05);两组术后 3 d、术后 14 d、术后 6 周视觉模拟评分法(VAS)评分均有所下降,且研究组VAS评分低于对照组,差异有统计学意义(P<0。05)研究组不良反应发生率低于对照组,治疗有效率高于对照组,差异有统计学意义(P<0。05)。结论 对重度混合痔患者采用混合痔悬吊荷包切除术治疗,能改善手术指标及肛肠动力学、减低疼痛情况、减少并发症、提高治疗有效率,安全性较好,值得临床应用。
Clinical Effect of Mixed Hemorrhoids Suspension Purse Resection in the Treatment of Severe Mixed Hemorrhoids and Its Effect on Anal Canal Tension in Patients
Objective Patients with severe mixed hemorrhoids were selected and treated with mixed hemorrhoidal suspension and bag resection,and the clinical effect and influence on anal canal tension were analyzed.Methods A total of 200 patients with severe mixed hemorrhoids admitted to Shangqiu City Traditional Chinese Medicine Hospital from April 2022 to March 2023 were randomly divided into control group and study group with 100 cases each.The control group was treated with external stripping and internal ligation,and the study group was treated with mixed hemorrhoid suspension and pouch resection.The surgical indexes,wound healing days,anal canal tension,pain score,treatment effectiveness and adverse reactions were compared between the two groups.Results The duration of pain and cumulative intraoperative bleeding in the study group were less than those in the control group,and the difference was statistically significant(P<0.05);The study group had fewer days of wound healing than the control group,and the anal tension was better than the control group,with a statistically significant difference(P<0.05);The Visual Analogue Scale(VAS)scores of both groups decreased at 3 days,14 days,and 6 weeks after surgery,and the VAS scores of the study group were lower than those of the control group,with statistical significance(P<0.05).The incidence of adverse reactions in the study group was lower than that of the control group,and the treatment effectiveness rate was higher than that of the control group(P<0.05);The incidence of adverse reactions in the study group was lower than that in the control group,and the treatment effectiveness rate was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion For severe mixed hemorrhoids patients,the use of mixed hemorrhoidal suspension bag resection can improve surgical indicators and anorectal dynamics,reduce pain,reduce complications,improve treatment efficiency,and is safe,worthy of clinical promotion.

mixed hemorrhoidssuspension pouch resectionanal tube tensioninflammation index

刘娜、凡会霞、刘小转、丁建华

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商丘市中医院 肛肠科,河南 商丘 476000

混合痔 悬吊荷包切除术 肛管张力 炎症指标

河南省卫生健康委国家中医临床基地科研专项

2021JDZX2139

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(6)
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