早期扩肛预防环状混合痔术后肛门狭窄的临床疗效  

Clinical effect of early anal dilatation to prevent anal stenosis after ring-shaped mixed hemorrhoids

作　　者：郭继香 GUO Ji-xiang(Beijing Ma Yinglong Changqing Anorectal Hospital,Beijing 100195,China)

机构地区：[1]北京马应龙长青肛肠医院,北京100195

出　　处：《临床医药文献电子杂志》2020年第74期3-4,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨对环状混合痔患者实施早期扩肛对肛门狭窄的预防效果。方法2018年7月至2019年7月为纳入研究对象的时间,并在此期间选取50例来我院就诊的环状混合痔患者,依照掷色子方法分组,各25例。参照组为实施扩肛干预,实验组在术后1周实施早期扩肛干预。检验2组患者的创面愈合时间、肛门狭窄发生率。结果实验组患者的创面愈合时间相比于参照组较短,但比较结果无明显差异性(P>0.05);实验组患者肛门狭窄发生率为4.00%(1/25),参照组患者肛门狭窄发生率为32.00%(8/25),组间差异显著(P<0.05)。结论对环状混合痔患者实施早期扩肛,可有效的降低肛门狭窄情况发生,具有明显的预防效果。Objective To explore the preventive effect of early anal dilatation on anal stenosis in patients with ring-shaped mixed hemorrhoids.Methods July 2018 to July 2019 were included in the study.During this period,50 patients with ring mixed hemorrhoids who came to our hospital for treatment were selected and grouped according to the dice method,25 cases each.In the reference group,anal dilatation intervention was implemented,and the experimental group was given early anal dilatation intervention 1 week after surgery.The wound healing time and the incidence of anal stenosis were examined in 2 groups of patients.Results The wound healing time of the experimental group was shorter than that of the reference group,but there was no significant difference in the comparison results(p>0.05);the incidence of anal stenosis in the experimental group was 4.00%(1/25).The incidence of stenosis was 32.00%(8/25),and the difference between the groups was significant(p<0.05).Conclusion The implementation of early anal dilatation in patients with ring-shaped mixed hemorrhoids can effectively reduce the occurrence of anal stenosis and has obvious preventive effects.

关 键 词：环状混合痔 早期扩肛 预防 肛门狭窄 

分 类 号：R4[医药卫生—临床医学]