弹力线套扎术治疗混合痔嵌顿的疗效观察

发布时间：2018-05-02 16:13

本文选题：弹力线套扎 + 混合痔　；参考：《广东医学》2017年11期

【摘要】：目的观察混合痔嵌顿患者进行弹力线套扎手术的治疗效果。方法收集混合痔水肿嵌顿患者89例,分为手术组(n=47)和非手术组(n=42),手术组采用弹力线套扎术(RPH),非手术组采取坐浴、抗炎、外用龙珠软膏和麝香痔疮栓等,对患者疼痛进行视觉模拟法(VAS)评分,以及对创面水肿情况和住院时间进行观察。结果手术组2、5、7 d VAS均明显低于非手术组,差异有统计学意义(P0.05);手术组2、5、7 d创面水肿情况均明显轻于非手术组,评分差异有统计学意义(P0.05);手术组住院时间明显短于非手术组,差异有统计学意义(P0.05)。结论混合痔嵌顿采取弹力线套扎手术能够减轻患者疼痛,减轻创面水肿,缩短住院时间,患者满意度高,疗效明显优于非手术治疗。
[Abstract]:Objective to observe the effect of elastic wire ligation for mixed hemorrhoid incarceration. Methods Eighty-nine patients with mixed hemorrhoid edema incarceration were divided into two groups: operation group (n = 47) and non-operative group (n = 42). The operation group was treated with elastic thread ligation (RPH), the non-operative group was treated with sitting bath, anti-inflammatory, external application of Dragon Zhu ointment and Musk hemorrhoid suppository, etc. The visual analogue method was used to evaluate the pain, and the wound edema and hospital stay were observed. Results the VAS of the operation group was significantly lower than that of the non-operation group on the 7th day, the difference was statistically significant (P 0.05), the edema of the wound in the operation group was significantly lighter than that in the non-operative group, and the score difference was statistically significant (P 0.05). The hospitalization time of the operation group was significantly shorter than that of the non-operative group. The difference was statistically significant (P 0.05). Conclusion combined hemorrhoids incarceration with elastic wire ligation can relieve pain, reduce wound edema, shorten hospital stay, and improve patient satisfaction, and the curative effect is better than that of non-operative treatment.
【作者单位】：武汉市第八医院肛肠四科;
【基金】：湖北省卫生计生委基金项目(编号:WJ2017F027)
【分类号】：R657.18

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