首页|吻合器痔上黏膜环切术联合括约肌折叠术治疗轻度直肠脱垂的效果

吻合器痔上黏膜环切术联合括约肌折叠术治疗轻度直肠脱垂的效果

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目的 探讨吻合器痔上环切加内窥镜治疗轻微脱垂患者的效果。方法 选择本院2021年1月-2021年12月收治的轻微性直肠脱垂患者50例,随机将其分成两组,每组25例。对照组单纯行基本疗法,观察组行肛管环切术后肛门内翻术。对两组直肠脱垂患者总有效率、排气时间、创面愈合时间、排便恢复时间、手术时间、住院时间、出血量、并发症发生率进行对比分析。结果 观察组直肠脱垂患者总有效率高达96。0%,大幅优于对照组直肠脱垂患者的76。0%(P<0。05)。观察组术后排气时间、伤口愈合时间及排便时间均优于对照组;手术时间和住院时间均较对照组缩短(P<0。05),观察组出血量较小(P<0。05);观察组直肠脱垂患者的临床不良反应发生率为4。0%,对照组直肠脱垂患者的临床不良反应发生率为24。0%,观察组直肠脱垂患者的临床不良反应发生率明显低于对照组(P<0。05)。结论 对轻微性肛管脱垂患者行肛门内窥镜切除术,效果令人满意,除了能够让患者在术后更加快速地得到康复,促使直肠脱垂病情得以更好地康复,同时也更能减少手术引起的肛门出血、肛门狭窄、肛门周边肿胀、尿道损伤等并发症,是一种安全性和有效性均比较高的手术类型,值得在直肠脱垂患者治疗中大力推广。
The Effect of Stapler Hemorrhoidectomy Combined with Sphincter Folding in the Treatment of Mild Rectal Prolapse
Objective To investigate the effect of endoscopy in patients with mild prolapse.Methods 50 cases of mild rectal prolapse admitted to our hospital from January 2021 to December 2021,25 cases were randomly divided into two groups,25 cases of control group,25 cases of annotomy and 25 cases of observation group.Comparative analysis of the two groups:total response rate,exhaust time,wound healing time,recovery time,defecation time,operation time,hospital stay,bleeding amount and incidence of complications for rectal prolapse.Results The total response rate of the patients with rectal prolapse in the observation group was up to 96.0%,which was significantly better than 76.0%of the control patients with rectal prolapse(P<0.05).The postoperative exhaust time,wound healing time and defecation time were better in the observation group than those in the control group;the operation time and hospital time were shorter than those in the control group(P<0.05),and the blood volume in the observation group was smaller(P<0.05);the incidence of clinical adverse reactions in patients with rectal prolapse was 4.0%,that of rectal prolapse in the control group was 24.0%,and the incidence of rectal prolapse in the observation group was significantly lower than that in the control group(P<0.05).Conclusion In patients with mild anal canal prolapse anal endoscopic resection,satisfactory effect,in addition to make patients in more rapid postoperative rehabilitation,prompting rectal prolapse condition to better rehabilitation,but also can reduce the operation caused by anal bleeding,anal stenosis,anal swelling,urethra injury complications,so the operation is a kind of safety and effectiveness are relatively high operation type,vigorously promoted in patients with rectal prolapse.

Procedure for prolapse and hemorrhoidsSphincter foldingMild rectal prolapsecurative effect

林良远

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吴川市人民医院,广东 吴川 524500

吻合器痔上黏膜环切术 括约肌折叠术 轻度直肠脱垂 疗效

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)