痔上黏膜C环切除术治疗痔的临床效果  

Clinical Effect of Supraorbital Mucosal C-ring Resection for Hernia

作　　者：侯松涛 张俊仲 崔伯岩 王山艳 孙江勇 HOU Song-tao;ZHANG Jun-zhong;CUI Bo-yan;WANG Shan-yan;SUN Jiang-yong(Department of Anorectal Surgery,Tianjin Binhai New Area Traditional Chinese Medicine Hospital,Tianjin 300000,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300000,China)

机构地区：[1]天津市滨海新区中医医院肛肠科,天津300000 [2]天津中医药大学,天津300000

出　　处：《医学信息》2019年第20期91-94,共4页Journal of Medical Information

基　　金：天津市滨海新区卫生计生委科技项目（编号：2018BWKQ031);滨海新区中医医院科技项目(编号：bhzy201613,bhzy201602)

摘　　要：目的观察痔上黏膜C环切除术治疗混合痔的临床疗效。方法取2016年12月~2018年5月我院收治的210例痔病患者为研究对象,随机分成观察组和对照组,每组105例。观察组予痔上黏膜C环切除术治疗,对照组采用黏膜环切钉合术(PPH)治疗。比较两组临床疗效、手术时间、住院时间及吻合口狭窄、肛门疼痛、出血发生率。结果观察组治愈率为81.90%,手术总有效率为100.00%,对照组治愈率78.10%,手术总有效率100.00%,组间比较,差异无统计学意义(P>0.05);观察组吻合口狭窄发生率低于对照组,差异有统计学意义(P<0.05);观察组肛门疼痛程度轻于对照组,差异有统计学意义(P<0.05);两组出血情况比较,差异无统计学意义(P>0.05);两组手术时间及住院时间比较,差异无统计学意义(P>0.05)。结论痔上黏膜C环切除手术可以有效降低PPH术后吻合口狭窄的发生率,减轻术后疼痛,可以针对性地为不同痔病患者提供个体化的手术治疗方案。Objective To observe the clinical effect of supraorbital mucosal C-ring resection for mixed hemorrhoids.Methods A total of 210 patients with rickets admitted to our hospital from December 2016 to May 2018 were randomly divided into observation group and control group,with 105 cases in each group.The observation group was treated with supraorbital mucosal C-ring resection,and the control group was treated with mucosal ring-cutting(PPH).The clinical efficacy,operation time,hospital stay and anastomotic stenosis,anal pain,and bleeding rate were compared between the two groups.Results The cure rate of the observation group was 81.90%,the total effective rate was 100.00%,the cure rate of the control group was 78.10%,and the total effective rate was 100.00%.There was no significant difference between the groups(P>0.05).The incidence of anastomotic stenosis was lower in the observation group than in the control group,the difference was statistically significant(P<0.05).The degree of anal pain in the observation group was lighter than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the bleeding between the two groups(P>0.05).There was no significant difference in the operation time and hospitalization time between the two groups(P>0.05).Conclusion The supraorbital mucosal C-ring resection can effectively reduce the incidence of anastomotic stenosis after PPH and reduce postoperative pain.It can provide individualized surgical treatment for different rickets.

关 键 词：痔 痔上黏膜环形切除钉合术 吻合口狭窄 C环 

分 类 号：R657.18[医药卫生—外科学]