摘要
目的探讨吻合器痔上黏膜环切术(PPH)治疗痔疮的临床应用优势。方法 182例痔疮患者,依据手术方式差异分为观察组(92例)和对照组(90例)。对照组应用传统痔疮切除术进行治疗,观察组应用PPH治疗。对比两组疗效、手术各指标及治疗前后视觉模拟评分法(VAS)评分。结果观察组治疗总有效率(95.65%)明显高于对照组(84.44%),差异具有统计学意义(P<0.05),两组患者手术与创口愈合时间及其术中出血量、肛周静息压与收缩压比较差异具有统计学意义(P<0.05)。两组治疗前VAS评分对比差异无统计学意义(P>0.05);两组治疗后的VAS评分较治疗前明显改善,且观察组VAS评分改善程度明显优于对照组,差异具有统计学意义(P<0.05)。结论临床予以痔疮患者PPH治疗,疗效确切且患者疼痛较轻与机体康复较快,具有临床推广价值。
Objective To investigate advantages in clinical application of procedure for prolapse and hemorrhoids（PPH） in the treatment of hemorrhoids. Methods A total of 182 patients with hemorrhoids were divided by different operation measures into observation group（92 cases） and control group（90 cases）. The control group received traditional hemorrhoidectiomy for treatment, and the observation group received PPH for treatment. Comparison was made on curative effect, operation indexes, and visual analogue scale（VAS） scores before and after treatment between the two groups. Results The observation group had obviously higher total effective rate in treatment（95.65%） than the control group（84.44%）, and the difference had statistical significance（P〈0.05）. The difference of operation time, wound healing time, intraoperative bleeding volume, perianal resting pressure and systolic pressure between the two groups had statistical significance（P〉0.05）. There was no statistically significant difference of VAS scores between the two groups before treatment（P〈0.05）. Both groups had obviously better VAS scores after treatment than those before treatment, and the observation group had much better improvement in VAS score than the control group, and their difference had statistical significance（P〈0.05）. Conclusion Clinical application of PPH in treating hemorrhoids shows precise curative effect, along with mild pain and quick rehabilitation. This method is worth clinical promotion and application.
出处
《中国实用医药》
2017年第10期49-51,共3页
China Practical Medicine
关键词
传统痔疮切除术
吻合器痔上黏膜环切术
痔疮
Traditional hemorrhoidectiomy
Procedure for prolapse and hemorrhoids
Hemorrhoids
