自动弹力线痔疮套扎术结合外痔减压术治疗老年嵌顿痔的研究  

Automatic elastic thread hemorrhoid ligation combined with external hemorrhoid decompression for treating elderly incarcerated hemorrhoid

作　　者：谭正洋[1] 高贵云[1] 邓如丹 TAN Zhengyang;GAO Guiyun;DENG Rudan(Department of Anorectal Diseases,Hunan Aerospace Hospital,Changsha,Hunan 410205,China)

机构地区：[1]湖南航天医院肛肠科,长沙410205

出　　处：《重庆医学》2020年第6期946-948,952,共4页Chongqing medicine

摘　　要：目的比较自动弹力线痔疮套扎术结合外痔减压术与外切内扎术治疗老年嵌顿痔的临床疗效。方法将100例老年嵌顿痔患者分成治疗组和对照组,治疗组采用自动弹力线痔疮套扎术结合外痔减压术治疗,对照组采用外切内扎术治疗,观察两组患者术中、术后情况及治疗效果。结果治疗组患者手术时间、术中出血量、术后住院时间、创面愈合时间均短于对照组短,差异均有统计学意义(P<0.05)。两组患者术后未发现大出血、感染及肛门失禁。治疗组术后肛门疼痛、术后出血、尿潴留、肛门狭窄的发生率均低于对照组,差异均有统计学意义(P<0.05)。结论自动弹力线痔疮套扎术结合外痔减压术治疗老年嵌顿痔效果好、安全可靠。Objective To compare the clinical effects of automatic elastic hemorrhoid ligation combined with external hemorrhoid decompression and external incision and internal ligation in the treatment of elderly incarcerated hemorrhoid.Methods One hundred elderly patients with incarcerated hemorrhoid were divided into the treatment group and control group.The treatment group adopted the automatic elastic thread hemorrhoid ligation combined with external hemorrhoid decompression,while the control group was treated with the external incision and internal ligation.The intraoperative and postoperative conditions and therapeutic effects of the two groups were observed.Results The operation time,intraoperative blood loss volume,postoperative hospital stay and wound healing time in the treatment group were shorter than those in the control group,and the differences were statistically significant(P<0.05).No massive hemorrhage,infection and fecal incontinence were found in the two groups after operation.The incidence rates of postoperative anal pain,postoperative hemorrhage,urinary retention and anal stenosis in the treatment group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Automatic elastic thread hemorrhoid ligation combined with external hemorrhoid decompression is effective,safe and reliable.

关 键 词：嵌顿痔 自动痔疮套扎术 外切内扎术 混合痔 

分 类 号：R657.18[医药卫生—外科学]