血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析

发布时间：2018-04-29 05:17

本文选题：肛门疾病 + 痔　；参考：《重庆医学》2017年14期

【摘要】：目的观察血栓剥除联合痔上黏膜环切钉合术(PPH)对嵌顿性环状混合痔中的治疗效果。方法将118例嵌顿性环状混合痔患者分为两组,试验组60例,采用血栓剥除术联合PPH手术方法;对照组58例,采用外剥内扎术手术方法。观察两组患者术后视觉模拟评分法(VAS)评分,水肿、出血、皮赘残留例数,伤口愈合时间,肛门狭窄、肛门失禁例数,肛管直肠测压及满意度差异。结果试验组与对照组术后水肿、出血、皮赘残留例数比较差异有统计学意义(χ~2=6.63、4.19、6.64,P0.05);术后肛门狭窄、肛门失禁例数比较差异无统计学意义(χ~2=0.38、1.11,P0.05)。试验组与对照组术后VAS评分、愈合时间、满意程度、肛管静息压、肛管最大收缩压比较差异有统计学意义(P0.01)。结论血栓剥除联合PPH术后并发症少,恢复快,对肛门功能影响小。
[Abstract]:Objective to observe the therapeutic effect of thrombolysis combined with circumferential hemorrhoidectomy (PPH) on incarcerated annular mixed hemorrhoids. Methods 118 cases of incarcerated annular mixed hemorrhoids were divided into two groups: the experimental group (n = 60) was treated with thrombus excision combined with PPH operation and the control group (n = 58) with external exfoliation and internal ligation. Visual analogue scale (VAS) score, edema, bleeding, residual dermatophyte, wound healing time, anal stricture, anal incontinence, anorectal manometry and satisfaction were observed. Results there was significant difference between the experimental group and the control group in the number of cases of edema, hemorrhage and dermatophyte (蠂 ~ 2 = 6.63 ~ 4.19 ~ 6.64) P 0.05, but there was no significant difference in the number of postoperative anal stricture and anal incontinence (蠂 ~ (2) 0.38 卤1.11) P 0.05. There were significant differences in VAS score, healing time, satisfactory degree, resting anal pressure and maximum systolic pressure of anal canal between the experimental group and the control group (P 0.01). Conclusion Thrombotomy combined with PPH has fewer complications, faster recovery and less influence on anal function.
【作者单位】：华中科技大学同济医学院附属荆州医院结直肠肛门外科;武汉大学中南医院结直肠肛门外科;
【分类号】：R657.18

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