痔疮套扎术与贯穿结扎术治疗内痔的比较研究

发布时间：2018-06-14 13:24

  本文选题：痔疮套扎术 + 贯穿结扎术　； 参考：《福建中医药大学》2015年硕士论文

【摘要】：目的和意义：本研究采用“痔上粘膜套扎法”联合“痔核基底套扎法”的痔疮套扎术与传统的内痔贯穿结扎术进行对比观察,观察痔疮套扎术治疗Ⅱ、Ⅲ期内痔的临床疗效,探讨其治疗机制,为临床推广应用提供理论依据。研究方法：选择符合研究对象的60例内痔患者随机分为两组,治疗组(“痔上粘膜套扎法”联合“痔核基底套扎法”的痔疮套扎术)和对照组(传统的贯穿结扎术)各30例,观察两组总体疗效、手术当天、术后第1、3、7天两组患者术后肛门坠胀和便血积分分布情况、痔核脱落时间及随访术后6个月疗效情况。结果：1.两组总有效率对比情况：治疗组治愈29例,好转1例,对照组治愈28例,好转2例,总有效率均为100%,两组总疗效比较无显著性差异(P0.05)；2.两组患者术后肛门坠胀情况：手术当天、术后第1、3天有显著差异(P0.05),术后第7天无显著差异(P0.05),提示：术后早期肛门坠胀治疗组优于对照组；3.两组患者术后便血对比情况：两组手术当天均无大出血,治疗组术后第1、3、7天便血积分情况与对照组经秩和检验结果显示治疗组术后便血情况优于对照组(P0.05)；4.两者患者痔核脱落时间对比情况：治疗组为(6.93±1.413)天,对照组为(11.5±1.503)天,两组患者有显著差异(P0.05),治疗组明显优于对照组；5.术后6个月疗效随访情况：治疗组未见复发和其他后遗症,对照组有1例内痔核萎缩不全,痔核无脱出,无便血,经秩和检验,P0.05,治疗组6个月与对照组疗效相当,复发率低,无明显统计学意义P0.15)。两组患者术后6个月随访均未出现肛门狭窄和肛门控便功能障碍情况,无统计学意义。结论：痔疮套扎术与贯穿结扎术治疗Ⅱ、Ⅲ期内痔有相同疗效,但痔疮套扎术后并发症较轻、手术时间和痔核脱落时间较短、复发率低、手术操作简单容易撑握。
[Abstract]:Objective and significance: to observe the clinical effect of hemorrhoid ligation with hemorrhoid mucosal ligation combined with hemorrhoid nucleus basal ligation and traditional internal hemorrhoids through ligation. To explore the therapeutic mechanism and provide theoretical basis for clinical application. Methods: sixty patients with internal hemorrhoids were randomly divided into two groups: treatment group (30 cases) and control group (30 cases). To observe the overall curative effect of the two groups, the distribution of anus bloating and hematochezia score, the time of hemorrhoid nucleus falling out and the curative effect of 6 months follow up on the day of operation and the 1st day and 7th day after operation. The result is 1: 1. There were 29 cases cured and 1 case improved in the treatment group, 28 cases in the control group and 2 cases in the control group. The total effective rate of the two groups was 100. There was no significant difference in the total effective rate between the two groups. There was significant difference between the two groups on the day of operation, on the 1st day after operation, on the 3rd day after operation, and on the 7th day after operation, there was no significant difference between the two groups (P 0.05). It was suggested that the treatment group was better than the control group in the early stage of postoperative anal distension. There was no severe bleeding in both groups on the day of operation, and the scores of hematochezia on the 1st day after operation in the treatment group were better than those in the control group by rank sum test. The results showed that the hematochezia in the treatment group was better than that in the control group (P 0.05). The time of prolapse of hemorrhoids was 6.93 卤1.413 days in the treatment group and 11.5 卤1.503 days in the control group. There was a significant difference between the two groups (P 0.05), and the treatment group was better than the control group (P 0.05). 6 months follow-up: there was no recurrence and other sequelae in the treatment group. In the control group, there was no atrophy of the internal hemorrhoids, no prolapse of the hemorrhoid nucleus and no bleeding in the stool. The curative effect of the treatment group was similar to that of the control group at 6 months and the recurrence rate was low. There was no significant statistical significance (P0. 15). There was no anal stricture and anorectal defecation dysfunction in 6 months after operation in both groups, and there was no significant difference between the two groups. Conclusion: hemorrhoids ligation has the same curative effect as penetrating ligation for internal hemorrhoids in stage 鈪，

本文编号：2017530