自制引流装置在痔上黏膜环形切除钉合术中的应用  

Use of self-made drainage device in surgical procedure for prolapse and hemorrhoid operation

作　　者：叶辉[1] 黄淑娟[1] 龚治林[1] 周启昌[1] 于杰[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院肛肠外科,湖北省荆州434020

出　　处：《中华全科医师杂志》2013年第8期641-642,共2页Chinese Journal of General Practitioners

摘　　要：将120例含Ⅲ、Ⅳ度内痔的混合痔患者随机分为3组，在行痔上黏膜环形切除钉合术（PPH）后，分别采用自制引流装置（A组）及传统引流装置（B组）、填塞物填塞肛管（C组）行术后处理。术后腹胀、疼痛、敷料渗湿及患者满意度，A组均优于B、C组（均P〈0．01）；术后腹胀B组轻于C组、敷料渗湿C组轻于B组（均P〈0．01）。自制引流装置有利于减轻患者术后腹胀、疼痛及敷料渗湿程度，提高患者术后满意度。A total of 120 patients with Ⅲ/Ⅳ degree hemorrhoids were randomly divided into 3 groups. Self-made drainage（ A group） , traditional device（ B group）and stuffing（ C group） were used at the end of operation. The patient postoperative complications and satisfaction were observed and compared. The results showed that postoperative abdominal distension, pain, medical dressing dampness and satisfaction were better in A group than those in B and C groups（ all P 〈0. 01 ）. Postoperative abdominal distention in B group was lighter than that in C group and medical dressing dampness less in C group than that in B group （ all P 〈 0. 01 ） . Thus the self-made drainage device may reduce the levels of postoperative abdominal distension, pain and medical dressing dampness and increase postoperative patient satisfaction.

关 键 词：引流术 痔 痔上黏膜环形切除钉合术 

分 类 号：R657.18[医药卫生—外科学]