Influencing Factors of Primary Bleeding at Anastomotic Site after Mixed Hemorrhoid PPH Surgery and Its Prognosis Effect
Objective To analyze primary bleeding at anastomotic site.Methods The paper reviewed and analyzed 100 patients with mixed hemorrhoid surgery in our hospital from January 2019 to December 2022,treated with PPH treatment,collected relevant data,and divided them into bleeding group and non bleeding group based on whether primary bleeding occurred.Logistic univariate and multivariate analyse were carried out on relevant data between two groups to evaluate risk factors of bleeding.Prognostic evaluation was conducted with Disease Uncertainty Scale(MUIS)and Self Rating Anxiety Scale(SAS)before surgery,7 days after surgery,and 2 months after surgery,all recurrent cases within 1 year after surgery were counted.Results Mucosal resection width<1.5cm,incomplete mucosal resection,low density of anastomotic nails,postoperative dry stool,preoperative concomitant hypertension,and low preoperative hemoglobin(HGB)was associated with postoperative primary bleeding.MUIS and SAS scores of bleeding group were higher than non bleeding group 7 days after surgery,and SAS scores of bleeding group were higher than non bleeding group 2 months after surgery,with statistical significance(P<0.05).There was no significant difference in MUIS scores and 1-year postoperative recurrence rate at 2 months after surgery(P>0.05).Conclusion There are many factors related to primary bleeding at anastomotic site of mixed hemorrhoids after PPH surgery,including intraoperative factors(insufficient mucosal resection width,insufficient density of anastomotic nails,etc.),preoperative factors(concomitant hypertension),and postoperative factors(dry stools,etc.).Bleeding does not significantly increase incidence of disease recurrence,but is more detrimental to mental health of patients.
Mixed hemorrhoidsPrimary bleeding at anastomotic sitePrognosisRelated factorsCircumcision of hemorrhoid mucosa with stapler
万方数据
维普
