摘要
目的:探讨痔上黏膜次环切术治疗环状混合痔的效果。方法:将2023年7~12月我院收治的60例环状混合痔患者按照1∶1比例随机分配至试验组和对照组,各30例。试验组接受痔上黏膜次环切术治疗,对照组接受痔上黏膜环切术(PPH)治疗。对比2组手术相关指标及术后恢复情况。结果:2组手术时间、术中出血量、外痔切除数量、住院时间比较差异均无统计学意义,P>0.05。试验组切除痔上黏膜的质量明显小于对照组,P<0.05。术后首次排便时,2组患者肛门疼痛VAS评分比较差异无统计学意义,P>0.05;术后第7天和第14天,试验组患者肛门疼痛VAS评分、肛门坠胀及急便感评分均低于对照组,P<0.05;术后3个月,2组患者肛门坠胀及急便感评分比较差异无统计学意义,P>0.05。对照组术后继发性出血1例,吻合口狭窄1例;试验组未发生继发性出血和吻合口狭窄。结论:与PPH相比,痔上黏膜次环切术治疗环状混合痔在术后疼痛、肛门坠胀、急便感方面更具优势。
Objective To investigate the effect of sub-circumcision of hemorrhoid mucosa in the treatment of circumferential mixed hemorrhoids.Methods Total 60patients with circumferential mixed hemorrhoids admitted to our hospital from July to December 2023were randomly assigned to experimental group and control group according to the ratio of 1∶1,with 30cases in each group.The experimental group received sub-circumcision of hemorrhoid mucosa and the control group was given procedure for prolapse and hemorrhoids(PPH).The operative indexes and postoperative recovery were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss,number of external hemorrhoidal removal and hospital stay between the two groups(P>0.05).The quality of hemorrhoidal mucosa resection in the experimental group was significantly lower than that in control group(P<0.05).At the first postoperative defecation,there was no significant difference in VAS score of anal pain between the two groups(P>0.05).On the 7th and 14th day after operation,the VAS scores of anal pain,anal distention and urgency scores of the experimental group were lower than those of the control group(P<0.05).Three months after operation,there was no significant difference in the scores of anal distention and urgency between the two groups(P>0.05).In the control group,postoperative secondary hemorrhage occurred in 1case and 1case had anastomotic stenosis.No secondary bleeding and anastomotic stenosis occurred in the experimental group.Conclusion Compared with PPH,the treatment of circumferential mixed hemorrhoids with sub-circumcision of hemorrhoid mucosa is more advantageous in the treatment of postoperative pain,anal distension and urgency.
作者
朱电如
徐大洲
ZHU Dian-ru;XU Da-zhou(Department of General Surgery,Baoying Fourth People's Hospital of Yangzhou,Baoying,Jiangsu 225817;Lianyungang First People's Hospital,Lianyungang,Jiangsu 222001)
出处
《中国肛肠病杂志》
2024年第11期39-41,共3页
Chinese Journal of Coloproctology
关键词
环状混合痔
痔上黏膜次环切术
痔上黏膜环切术
疗效
Circumferential mixed hemorrhoids
Sub-circumcision of hemorrhoid mucosa
Procedure for prolapse and hemorrhoids(PPH)
Efficacy
