人工手法直肠黏膜结扎悬吊在环状混合痔手术中的应用  

Effect Comparision of Tissue-selecting Therapy of Manual Processing and Traditional External Dissection and Internal Ligation Surgery in the Treatment of Circumferential Mixed Hemorrhoids

作　　者：李贵信[1] 袁吉林 LI Guixin;YUAN Jilin(Anorectal Department,Dezhou People’s Hospital of Shandong Province,Dezhou Shandong 253000,China)

机构地区：[1]山东省德州市人民医院肛肠外科,山东德州253000

出　　处：《中国卫生标准管理》2020年第18期47-49,共3页China Health Standard Management

摘　　要：目的探讨人工手法直肠黏膜结扎悬吊在环状混合痔手术中的疗效和安全性,总结相关手术经验。方法将2016年10月—2018年10月收治入组的120例环状混合痔患者随机分为试验组(n=60)和对照组(n=60),分别采用人工手法进行选择性直肠黏膜结扎悬吊结合传统手术和传统外剥内扎手术组;比较两组手术时间、术中出血量、术后疼痛评分、术后肛缘水肿发生率及患者对治疗效果的满意度。结果试验组手术时间、术中出血量、术后疼痛评分、术后肛缘水肿发生率及患者对治疗效果的满意度均优于对照组,差异均有统计学意义(P<0.05)。结论人工手法进行选择性直肠黏膜结扎悬吊应用于环状混合痔手术,使本来复杂的手术变得简单,手术时间缩短,术后肛门外观、功能良好;安全可靠,治疗效果满意,值得推广应用。Objective To compare the clinical effect of tissue-selecting therapy of manual processing and traditional external dissection and internal ligation surgery in the treatment of circumferential mixed hemorrhoids,and to investigate the reliable method of clinical effective treatment of circumferential mixed hemorrhoids,and to sum up the relevant experience of surgery.Methods 120 patients with circumferential mixed hemorrhoids treated in our hospital from October 2016 to October 2018 were selected as the study objects,and they were randomly divided into the experimental group(n=60),used tissue-selecting therapy of manual processing and the control group(n=60),used raditional operation.The duration of operation,intraoperative bleeding,postoperative pain score,perianal edema incidence rate and satisfaction with the therapeutic effect were compared between the two groups.Results The duration of operation,intraoperative bleeding,postoperative pain score,the perianal edema incidence rate and satisfaction with the therapeutic effect in the experimental group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of tissue-selecting therapy of manual processing treating circumferential mixed hemorrhoids is significant,and it is a ideal and reliable selection treating circumferential mixed hemorrhoids in clinic.It is worth popularizing and applying.

关 键 词：环状混合痔 手术 微创 外剥内扎术 临床效果 对比研究 

分 类 号：R605[医药卫生—外科学]