分段外剥内扎+减张离断术治疗环状混合痔的临床研究
|
摘要
目的探讨应用分段外剥内扎+减张离断术治疗环状混合痔的临床疗效与价值。方法选取2017年1月～2018年12月在我院接受治疗的环状混合痔患者60例作为本次的研究对象,随机分为各30例的观察组和对照组,观察组采用常规手术器械及国产超声刀行分段外剥内扎+减张离断术;对照组采用一次性使用管型肛肠吻合器及其附件行PPH术联合外剥内扎术。对比两组患者最终收到的临床疗效及并发症发生情况。结果两组患者最终的总有效率比较,差异无统计学意义(P> 0.05);但观察组患者所用的平均愈合时间较对照组更低,且术后并发症较对照组更少,差异有统计学意义(P <0.05)。结论采用分段外剥内扎+减张离断术治疗环状混合痔的效果更好,术后并发症少,愈合快。
Objective To explore the clinical curative effects and value of segmental external dissection and internal ligation combined withtension reduction and disconnection in treatment of circumferential mixed hemorrhoids. Methods Sixty patients with circumferential mixed hemorrhoids who were treated in our hospital from January 2017 to December 2018 were selected as research objects.They were randomly divided into the observation group and the control group,with 30 in each group.Patients in the observation group underwent segmental external dissection and internal ligation combined withtension reduction and disconnection by conventional surgical instruments and domestic ultrasonic scalpels.Patients in the control group underwent PPH combined with segmental external dissection and internal ligation by disposable tubular anorectal stapler and its accessories.The clinical curative effects and complications were compared between the two groups. Results There was no statistically significant difference in the final total effective rate between the two groups(P > 0.05).But the average healing time of patients in the observation group was lower than that in the control group and the postoperative complications were less than those in the control group.The differences in the two results were both statistically significant(P < 0.05). Conclusion The segmental external dissection and internal ligation combined withtension reduction and disconnection in treatment of circumferential mixed hemorrhoids has better effects.It has less postoperative complications and faster healing.
Objective To explore the clinical curative effects and value of segmental external dissection and internal ligation combined withtension reduction and disconnection in treatment of circumferential mixed hemorrhoids. Methods Sixty patients with circumferential mixed hemorrhoids who were treated in our hospital from January 2017 to December 2018 were selected as research objects.They were randomly divided into the observation group and the control group,with 30 in each group.Patients in the observation group underwent segmental external dissection and internal ligation combined withtension reduction and disconnection by conventional surgical instruments and domestic ultrasonic scalpels.Patients in the control group underwent PPH combined with segmental external dissection and internal ligation by disposable tubular anorectal stapler and its accessories.The clinical curative effects and complications were compared between the two groups. Results There was no statistically significant difference in the final total effective rate between the two groups(P > 0.05).But the average healing time of patients in the observation group was lower than that in the control group and the postoperative complications were less than those in the control group.The differences in the two results were both statistically significant(P < 0.05). Conclusion The segmental external dissection and internal ligation combined withtension reduction and disconnection in treatment of circumferential mixed hemorrhoids has better effects.It has less postoperative complications and faster healing.
引文
[1]黄国锋,邱光明,周明珠.PPH联合外痔剥切术和传统分段外剥内扎术治疗重度环状混合痔的效果对比[J].中国当代医药,2017,24(3):54-57.
[2]潘友珍,周丽波,郑振麟.分段外剥内扎改良术治疗环状混合痔62例临床症状及体征评价[J].上海中医药大学学报,2017,31(2):44-47.
[3]雷霆,郑伟琴,宗轶,等.分段外剥内扎加Z形皮桥短缩术治疗环状混合痔的临床研究[J].中医药临床杂志,2017,29(4):557-559.
[4]毛龙飞,孔萍,黄华丽.用改良的PPH与分段外剥内扎术治疗环状混合痔的效果对比[J].当代医药论丛,2017,15(13):43-44.
[5]李诗.皮瓣推进重建皮桥结合外剥内扎术治疗环状混合痔的效果分析[J].河南医学研究,2017,26(13):2340-2342.
[6]黄伟波,张禄芳.分段潜行外剥内扎加选择性断桥缝合术治疗环状混合痔的临床疗效[J].包头医学院学报,2017,33(9):65-67.
[7]谢刚.外剥内扎、分段缝合、内痔注射术治疗环状混合痔的临床研究[J].中日友好医院学报,2016,30(4):235-236.
[8]谢刚.外剥内扎分段缝合加芍倍注射液与外剥内扎分段缝合加消痔灵注射术治疗环状混合痔疗效比较[J].中国临床医生杂志,2016,44(11):57-59.
[9]蓝兴菊.环状混合痔行吻合器痔上黏膜环切钉合术患者的近期及远期并发症分析[J].重庆医学,2015,44(1):110-112.
[10]郭航勇,郭文涛,李一兵.改良外剥内扎加皮桥修整悬吊术治疗嵌顿环状混合痔[J].实用中西医结合临床,2015,15(1):70-71.
[11]袁可,余文芳,裴熹.分段外剥内扎联合断桥整形缝合术治疗环状混合痔的临床观察[J].结直肠肛门外科,2014,20(6):397-400.
[12]黄续,马慧萍.采用不同术式治疗环状混合痔103例体会[J].中国实用医药,2013,8(36):130-131.
[13]徐晓玉,彭春生.环状混合痔分段外剥内扎术临床体会[J].安徽医药,2013,17(11):1925-1927.
[14]陆坚,徐照秀,吴帅军,等.分段外剥内扎配合痔上黏膜套扎术治疗环状混合痔疗效观察[J].山东医药,2014,54(16):81-82.
[15]张新红.PPH术与外剥内扎术治疗环状混合痔的临床疗效及安全性比较[J].河北医学,2014,20(7):1148-1150.
[16]熊志军.分段外剥内扎加弧形切除缝合治疗138例环状混合痔临床观察[J].湖北科技学院学报(医学版),2013,27(2):137-138.
[2]潘友珍,周丽波,郑振麟.分段外剥内扎改良术治疗环状混合痔62例临床症状及体征评价[J].上海中医药大学学报,2017,31(2):44-47.
[3]雷霆,郑伟琴,宗轶,等.分段外剥内扎加Z形皮桥短缩术治疗环状混合痔的临床研究[J].中医药临床杂志,2017,29(4):557-559.
[4]毛龙飞,孔萍,黄华丽.用改良的PPH与分段外剥内扎术治疗环状混合痔的效果对比[J].当代医药论丛,2017,15(13):43-44.
[5]李诗.皮瓣推进重建皮桥结合外剥内扎术治疗环状混合痔的效果分析[J].河南医学研究,2017,26(13):2340-2342.
[6]黄伟波,张禄芳.分段潜行外剥内扎加选择性断桥缝合术治疗环状混合痔的临床疗效[J].包头医学院学报,2017,33(9):65-67.
[7]谢刚.外剥内扎、分段缝合、内痔注射术治疗环状混合痔的临床研究[J].中日友好医院学报,2016,30(4):235-236.
[8]谢刚.外剥内扎分段缝合加芍倍注射液与外剥内扎分段缝合加消痔灵注射术治疗环状混合痔疗效比较[J].中国临床医生杂志,2016,44(11):57-59.
[9]蓝兴菊.环状混合痔行吻合器痔上黏膜环切钉合术患者的近期及远期并发症分析[J].重庆医学,2015,44(1):110-112.
[10]郭航勇,郭文涛,李一兵.改良外剥内扎加皮桥修整悬吊术治疗嵌顿环状混合痔[J].实用中西医结合临床,2015,15(1):70-71.
[11]袁可,余文芳,裴熹.分段外剥内扎联合断桥整形缝合术治疗环状混合痔的临床观察[J].结直肠肛门外科,2014,20(6):397-400.
[12]黄续,马慧萍.采用不同术式治疗环状混合痔103例体会[J].中国实用医药,2013,8(36):130-131.
[13]徐晓玉,彭春生.环状混合痔分段外剥内扎术临床体会[J].安徽医药,2013,17(11):1925-1927.
[14]陆坚,徐照秀,吴帅军,等.分段外剥内扎配合痔上黏膜套扎术治疗环状混合痔疗效观察[J].山东医药,2014,54(16):81-82.
[15]张新红.PPH术与外剥内扎术治疗环状混合痔的临床疗效及安全性比较[J].河北医学,2014,20(7):1148-1150.
[16]熊志军.分段外剥内扎加弧形切除缝合治疗138例环状混合痔临床观察[J].湖北科技学院学报(医学版),2013,27(2):137-138.