混合痔外切内扎术中保留宽黏膜桥对缓解术后疼痛的效果研究  

Efficacy of Reserving Wide Mucosa Bridge in the Procedure of External Dissection ＆ Internal Ligation for Mixed Hemorrhoids on Relieving Postoperative Pain

作　　者：张俊[1] 任远[1] 胡丹[1] 

机构地区：[1]江苏省溧阳市人民医院肛肠中心,江苏溧阳213300

出　　处：《中国肛肠病杂志》2016年第8期36-38,共3页Chinese Journal of Coloproctology

摘　　要：为探讨混合痔外切内扎术中保留宽黏膜桥对缓解患者术后疼痛的效果，将60例拟行外切内扎术治疗的环状混合痔患者随机分为对照1组、对照2组和治疗组，每组20例，对照1组和对照2组术中保留黏膜桥宽0．5～0．8cm，对照2组术后创面点状注射稀释的亚甲蓝液，对照1组不注射亚甲蓝液，治疗组术中保留黏膜桥宽0-8cm以上，创面不注射亚甲蓝液。对比3组患者术后疼痛、肛门漏气漏液、排便困难程度。结果显示，治疗组和对照2组术后第1天、第2天、第3天排便时疼痛评分明显低于对照1组，P〈0．05；治疗组和对照2组比较差异无统计学意义，P〉0．05。对照1组和治疗组术后排便困难程度评分及肛门漏气漏液程度评分明显低于对照2组，P〈0．05；对照1组和治疗组比较差异无统计学意义，P〉0．05。结果表明，混合痔外切内扎术中保留宽黏膜桥（〉0．8cm）可明显降低患者术后疼痛程度，且发生肛门漏气漏液、排便困难的情况更少。This study was to investigate the efficacy of reserving wide mucosa bridge in the procedure of external dissection ＆ internal ligation for mixed hemorrhoids to relieve postoperative pain; randomly divided 60 cases of circumferential mixed hemorrhoids to be subject to external dissection ＆ internal ligation into No.1 control group,No.2 control group the reserved mucosa bridge＇s width was 0.5 cm to 0.8 cm during operation,after operation at wound-surface of No. 2 control group which injecting diluted methylene blue solution punctiformly,no injecting in No.1 control group;in treatment group the width was more than 0.8 cm,without injecting methylene blue solution;then,compared patient＇s following indexes as pain,leakage gas ＆ liquid and dyschesia degree,etc between the 3 groups.As results,on the lst,2nd and 3rd day after operation the score rating on pain from defecation in treatment group and No.2 control group was significantly lower than that in No.1 control group（ P 〈0.05） ,but between first two groups there was no statistical difference（ P 〉0.05）;the score rating on ＇dyschesia, and on leakage gas ＆ liquid in treatment group and No.1 control group were significantly low than that in No. 2 control group（ P %0.05）, but between first two groups there was no statistical difference（ P 〉0.05）.Results show that in external dissection ＆ internal ligation for mixed hemorrhoids the reserved mucosa bridge 〉0.8 cm could significantly relieve patient＇s postoperative pain,and even more less leakage gas ＆ liquid,and dyschesia.

关 键 词：混合痔 外切内扎术 黏膜桥 术后疼痛 

分 类 号：R657.18[医药卫生—外科学]