<span style="font-family:Verdana;">The subjects of this study were 80 patients who underwent mixed hemorrhoids surgery in our hospital from January to October 2020 (mixed hemorrhoids external and inter...<span style="font-family:Verdana;">The subjects of this study were 80 patients who underwent mixed hemorrhoids surgery in our hospital from January to October 2020 (mixed hemorrhoids external and internal ligation, internal hemorrhoids ligation or Xiaozhiling injection) and developed anal edge edema after surgery. According to the order of hospitalization, the patients were randomly divided into treatment group and control group, with 40 cases each.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">In the control group, blank hot pack was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema after operation;in the treatment group, hot pack of Traditional Chinese medicine was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema. The course of treatment was 7 days.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">The edema subsidence and postoperative pain scores were observed in both groups.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">Results: The scores of anal edema and pain in the treatment group were significantly lower than those in the control group (P < 0.05), and the significant efficiency and total effective rate in the treatment group were significantly better than those in the control group, with statistical difference (P < 0.05).</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">Conclusion: Chinese medicine hot election package is effective in treating postoperative anal edema of mixed hemorrhoids, and the method is simple and suitable for clinical promotion.</span>展开更多
目的:探究肛门整复术及外剥内扎术联合治疗多发性混合痔的效果。方法:纳入2021年12月—2024年12月榆林市榆阳区妇幼保健院收治的女性多发性混合痔患者88例,根据随机数字表法将其分成对照组(外剥内扎术,n=44)和联合组(肛门整复术联合外...目的:探究肛门整复术及外剥内扎术联合治疗多发性混合痔的效果。方法:纳入2021年12月—2024年12月榆林市榆阳区妇幼保健院收治的女性多发性混合痔患者88例,根据随机数字表法将其分成对照组(外剥内扎术,n=44)和联合组(肛门整复术联合外剥内扎术,n=44)。比较两组手术效果、肛缘水肿情况、疼痛情况、肛门功能、肛门光滑度及并发症发生率。结果:相比于对照组,联合组治疗总有效率更高(P=0.044),肛缘水肿程度更低(P=0.038);与对照组相比,联合组术后1、3 d VAS评分更低(P<0.05);术后3个月,联合组Wexner肛门失禁评分低于对照组(P<0.001);联合组肛门光滑度高于对照组(P=0.018);与对照组相比,联合组并发症发生率更低(P=0.024)。结论:肛门整复术及外剥内扎术联合治疗多发性混合痔的效果较好,可减轻肛缘水肿及术后疼痛,加快肛门功能恢复,提高肛门光滑度,且并发症发生风险低。展开更多
目的探讨吻合器痔上粘膜环切(procedure for prolapse and hemorrhoids,PPH)联合外痔切除术治疗混合痔后患者出现肛缘水肿、慢性疼痛的危险因素,为临床预防相关并发症提供指导建议。方法选取本院2020年1月至2022年12月采用吻合器手术切...目的探讨吻合器痔上粘膜环切(procedure for prolapse and hemorrhoids,PPH)联合外痔切除术治疗混合痔后患者出现肛缘水肿、慢性疼痛的危险因素,为临床预防相关并发症提供指导建议。方法选取本院2020年1月至2022年12月采用吻合器手术切除治疗的混合痔患者300例进行临床研究,根据患者术后是否并发肛缘水肿、慢性疼痛将患者分别进行分组,对比各组患者的一般资料、手术情况及术后康复资料,分析引起肛缘水肿、慢性疼痛的危险因素。结果300例吻合器手术切除治疗的混合痔患者,其中发生肛缘水肿67例,未发生肛缘水肿233例,肛缘水肿患者的高血压占比、肥胖占比、便秘占比大于非水肿组,差异具有统计学意义(P<0.05);Logistic回归模型分析结果:合并肥胖、合并便秘、是发生肛缘水肿的独立危险因素(P<0.05)。300例吻合器痔切除手术切除的患者,其中发生慢性疼痛34例,未发生慢性疼痛266例,慢性疼痛组年龄≥65岁占比、糖尿病占比、肥胖占比、便秘占比的患者占比大于非慢性疼痛患者,差异具有统计学意义(P<0.05);Logistic回归模型结果显示:合并肥胖、合并便秘是发生慢性疼痛的独立危险因素(P<0.05)。结论肥胖、合并便秘会增大混合痔患者吻合器手术切除联合外痔切除术治疗后发生肛缘水肿的风险,合并肥胖、合并便秘会增大其发生慢性疼痛的风险。展开更多
目的研究自拟活血化瘀方对肛肠术后组织内成纤维细胞的表达量的影响,进而减少肛肠术后并发症,促进伤口愈合。方法收集2019年12月-2020年10月就诊于河北省中医院肛肠科120例符合纳入标准的患者。随机选取60例患者作为对照组采用便后坐浴...目的研究自拟活血化瘀方对肛肠术后组织内成纤维细胞的表达量的影响,进而减少肛肠术后并发症,促进伤口愈合。方法收集2019年12月-2020年10月就诊于河北省中医院肛肠科120例符合纳入标准的患者。随机选取60例患者作为对照组采用便后坐浴换药等常规临床治疗,余60例在常规治疗基础上加用自拟活血化瘀方内服作为治疗组。统计各组治疗后症候积分,观察临床疗效并随访愈合时间。取术后3、7、14天伤口增生的多余组织应用苏木精-伊红染色法(hematoxylin-eosin staining,HE)染色观察术后组织内肉芽组织形成情况,应用免疫荧光染色技术,观察创口肉芽组织中成纤维细胞特异性蛋白-1(Fibroblast specific protein-1,FSP-1)的表达量。结果治疗组的各症候积分显著优于对照组;免疫荧光染色FSP-1发现,治疗组第7、14天FSP-1表达量显著多于对照组(P<0.05),两组差异具有统计学意义。治疗组伤口愈合时间明显短于对照组(P<0.05)。结论通过上述实验结果,推论自拟活血化瘀方可通过促进肛肠术后组织内成纤维细胞的增殖,在防治肛肠术后肛门疼痛、创缘水肿方面具有明显效果,可提高肛肠术后创伤愈合速度。展开更多
文摘<span style="font-family:Verdana;">The subjects of this study were 80 patients who underwent mixed hemorrhoids surgery in our hospital from January to October 2020 (mixed hemorrhoids external and internal ligation, internal hemorrhoids ligation or Xiaozhiling injection) and developed anal edge edema after surgery. According to the order of hospitalization, the patients were randomly divided into treatment group and control group, with 40 cases each.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">In the control group, blank hot pack was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema after operation;in the treatment group, hot pack of Traditional Chinese medicine was applied on the basis of anorectal No. 1 lotion for prevention and treatment of anal edge edema. The course of treatment was 7 days.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">The edema subsidence and postoperative pain scores were observed in both groups.</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">Results: The scores of anal edema and pain in the treatment group were significantly lower than those in the control group (P < 0.05), and the significant efficiency and total effective rate in the treatment group were significantly better than those in the control group, with statistical difference (P < 0.05).</span><span style="font-size:10.0pt;font-family:;" "=""> </span><span style="font-size:10pt;font-family:Verdana;" "="">Conclusion: Chinese medicine hot election package is effective in treating postoperative anal edema of mixed hemorrhoids, and the method is simple and suitable for clinical promotion.</span>
文摘目的:探究肛门整复术及外剥内扎术联合治疗多发性混合痔的效果。方法:纳入2021年12月—2024年12月榆林市榆阳区妇幼保健院收治的女性多发性混合痔患者88例,根据随机数字表法将其分成对照组(外剥内扎术,n=44)和联合组(肛门整复术联合外剥内扎术,n=44)。比较两组手术效果、肛缘水肿情况、疼痛情况、肛门功能、肛门光滑度及并发症发生率。结果:相比于对照组,联合组治疗总有效率更高(P=0.044),肛缘水肿程度更低(P=0.038);与对照组相比,联合组术后1、3 d VAS评分更低(P<0.05);术后3个月,联合组Wexner肛门失禁评分低于对照组(P<0.001);联合组肛门光滑度高于对照组(P=0.018);与对照组相比,联合组并发症发生率更低(P=0.024)。结论:肛门整复术及外剥内扎术联合治疗多发性混合痔的效果较好,可减轻肛缘水肿及术后疼痛,加快肛门功能恢复,提高肛门光滑度,且并发症发生风险低。
文摘目的探讨吻合器痔上粘膜环切(procedure for prolapse and hemorrhoids,PPH)联合外痔切除术治疗混合痔后患者出现肛缘水肿、慢性疼痛的危险因素,为临床预防相关并发症提供指导建议。方法选取本院2020年1月至2022年12月采用吻合器手术切除治疗的混合痔患者300例进行临床研究,根据患者术后是否并发肛缘水肿、慢性疼痛将患者分别进行分组,对比各组患者的一般资料、手术情况及术后康复资料,分析引起肛缘水肿、慢性疼痛的危险因素。结果300例吻合器手术切除治疗的混合痔患者,其中发生肛缘水肿67例,未发生肛缘水肿233例,肛缘水肿患者的高血压占比、肥胖占比、便秘占比大于非水肿组,差异具有统计学意义(P<0.05);Logistic回归模型分析结果:合并肥胖、合并便秘、是发生肛缘水肿的独立危险因素(P<0.05)。300例吻合器痔切除手术切除的患者,其中发生慢性疼痛34例,未发生慢性疼痛266例,慢性疼痛组年龄≥65岁占比、糖尿病占比、肥胖占比、便秘占比的患者占比大于非慢性疼痛患者,差异具有统计学意义(P<0.05);Logistic回归模型结果显示:合并肥胖、合并便秘是发生慢性疼痛的独立危险因素(P<0.05)。结论肥胖、合并便秘会增大混合痔患者吻合器手术切除联合外痔切除术治疗后发生肛缘水肿的风险,合并肥胖、合并便秘会增大其发生慢性疼痛的风险。
文摘目的研究自拟活血化瘀方对肛肠术后组织内成纤维细胞的表达量的影响,进而减少肛肠术后并发症,促进伤口愈合。方法收集2019年12月-2020年10月就诊于河北省中医院肛肠科120例符合纳入标准的患者。随机选取60例患者作为对照组采用便后坐浴换药等常规临床治疗,余60例在常规治疗基础上加用自拟活血化瘀方内服作为治疗组。统计各组治疗后症候积分,观察临床疗效并随访愈合时间。取术后3、7、14天伤口增生的多余组织应用苏木精-伊红染色法(hematoxylin-eosin staining,HE)染色观察术后组织内肉芽组织形成情况,应用免疫荧光染色技术,观察创口肉芽组织中成纤维细胞特异性蛋白-1(Fibroblast specific protein-1,FSP-1)的表达量。结果治疗组的各症候积分显著优于对照组;免疫荧光染色FSP-1发现,治疗组第7、14天FSP-1表达量显著多于对照组(P<0.05),两组差异具有统计学意义。治疗组伤口愈合时间明显短于对照组(P<0.05)。结论通过上述实验结果,推论自拟活血化瘀方可通过促进肛肠术后组织内成纤维细胞的增殖,在防治肛肠术后肛门疼痛、创缘水肿方面具有明显效果,可提高肛肠术后创伤愈合速度。
