首页|吻合器痔上黏膜环切术在混合痔患者中的临床疗效分析

吻合器痔上黏膜环切术在混合痔患者中的临床疗效分析

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目的 探讨吻合器痔上黏膜环切术治疗混合痔患者的临床疗效。方法 205 例混合痔患者为研究对象,根据手术方法不同分为对照组(70 例)和观察组(135 例)。对照组实施痔外切内扎术治疗,观察组实施吻合器痔上黏膜环切术治疗。比较两组患者的临床疗效、手术时间、住院时间、切口愈合时间、术后肛门疼痛评分及术后并发症发生情况。结果 与对照组(88。6%)比较,观察组患者的临床总有效率(97。8%)明显更高(P<0。05)。观察组患者手术时间、住院时间和切口愈合时间分别为(22。56±5。04)min、(5。48±0。67)d、(20。39±4。86)d,对照组患者分别为(31。37±5。70)min、(7。69±1。02)d、(27。58±5。57)d,与对照组比较,观察组患者的手术时间、住院时间和切口愈合时间明显更短(P<0。05)。观察组患者术后 1、5、10 d的肛门视觉模拟评分法(VAS)评分分别为(2。98±1。32)、(1。34±1。16)、(1。10±1。02)分,对照组患者分别为(5。16±2。25)、(3。88±1。47)、(2。63±1。23)分,与对照组比较,观察组患者术后 1、5、10 d的肛门VAS评分均明显降低(P<0。05)。与对照组(11。4%)比较,观察组患者术后并发症发生率(3。7%)明显降低(P<0。05)。结论 吻合器痔上黏膜环切术治疗混合痔患者的临床疗效显著,能够有效改善患者的临床症状,缩短手术时间、住院时间和切口愈合时间,缓解术后肛门疼痛,降低术后并发症发生率,预后良好,值得临床推广应用。
Clinical efficacy analysis of procedure for prolapse and hemorrhoids in patients with mixed hemorrhoids
Objective To explore the clinical efficacy of procedure for prolapse and hemorrhoids in patients with mixed hemorrhoids.Methods 205 patients with mixed hemorrhoids were studied and divided into a control group(70 cases)and an observation group(135 cases)according to different surgical methods.The control group was treated with external resection and internal ligation,and the observation group was treated with procedure for prolapse and hemorrhoids.The clinical efficacy,operation time,hospital stay,incision healing time,postoperative anal pain score and postoperative complications were compared between the two groups.Results Compared with the control group(88.6%),the total clinical effective rate of the observation group(97.8%)was significantly higher(P<0.05).The operation time,hospital stay and incision healing time in the observation group were(22.56±5.04)min,(5.48±0.67)d and(20.39±4.86)d,while those in the control group were(31.37±5.70)min,(7.69±1.02)d and(27.58±5.57)d.Compared with the control group,the operation time,hospital stay and incision healing time in the observation group were significantly shorter(P<0.05).The anal VAS score in the observation group were(2.98±1.32),(1.34±1.16)and(1.10±1.02)points at 1,5 and 10 d after surgery,while those in the control group were(5.16±2.25),(3.88±1.47)and(2.63±1.23)points.Compared with the control group,the anal VAS scores in the observation group were significantly decreased at 1,5 and 10 d after surgery(P<0.05).Compared with the control group(11.4%),the incidence of postoperative complications in the observation group(3.7%)was significantly decreased(P<0.05).Conclusion Procedure for prolapse and hemorrhoids has significant clinical efficacy in the treatment of patients with mixed hemorrhoids,which can effectively improve the clinical symptoms of patients,shorten the operation time,hospital stay and incision healing time,relieve postoperative anal pain,reduce the incidence of postoperative complications.It had a good prognosis,and is worthy of clinical promotion and application.

Procedure for prolapse and hemorrhoidsMixed hemorrhoidsAnorectal functionClinical efficacy

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363700 平和县医院外三科

吻合器痔上黏膜环切术 混合痔 肛肠功能 临床疗效

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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