自动痔疮套扎术治疗妊娠合并痔疮的临床疗效

发布时间：2018-08-25 13:40

【摘要】：目的:探讨自动痔疮套扎术(ruiyun procedurefor hemorrhoid,RPH)治疗妊娠合并痔疮的临床疗效。方法:将2012年1月至2014年7月妊娠合并痔疮的184例患者随机分为观察组和对照组各92例,观察组应用自动痔疮套扎术(RPH)治疗,对照组采用传统外剥内扎术治疗,分析两组的手术时间、术后疼痛评分、痊愈时间、一般并发症、产科并发症、有效率等情况。结果:观察组手术时间、术后疼痛评分、痊愈时间均优于对照组(P0.01);但两组在一般并发症、产科并发症及有效率比较,差异无统计学意义(P0.05)。随访3~12个月无严重并发症发生,母婴均平安。结论:自动痔疮套扎术(RPH)治疗妊娠合并痔疮无需麻醉,损伤小,痛苦小,恢复快,安全有效,可成为妊娠期痔疮患者保守治疗之外的首选,值得临床推广。
[Abstract]:Objective: to investigate the clinical effect of automatic ligation of hemorrhoids (ruiyun procedurefor hemorrhoid,RPH) on pregnancy with hemorrhoids. Methods: 184 cases of pregnancy complicated with hemorrhoids from January 2012 to July 2014 were randomly divided into two groups: observation group (n = 92) and control group (n = 92). The observation group was treated with automatic hemorrhoids ligation (RPH), while the control group was treated with traditional external exfoliation and internal ligation. The operative time, postoperative pain score, recovery time, general complications, obstetrical complications, effective rate and so on were analyzed. Results: the operation time, postoperative pain score and recovery time in the observation group were better than those in the control group (P0.01), but there was no significant difference between the two groups in general complications, obstetric complications and effective rate (P0.05). There were no serious complications during 3 ~ 12 months follow-up, and the mother and infant were safe. Conclusion: automatic hemorrhoids ligation (RPH) for pregnancy with hemorrhoids without anesthesia, less injury, less pain, quick recovery, safe and effective, can become the first choice for the conservative treatment of pregnancy hemorrhoids patients, worthy of clinical promotion.
【作者单位】：广东省珠海市妇幼保健院普外科;
【分类号】：R714.255

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