RPH联合肛瘘切除术治疗内痔合并低位肛瘘的疗效观察  

RPH Combined with Resection of Anal Fistula in the Treatment of Internal Hemorrhoids Complicated with Low Anal Fistula: Effect Observation

作　　者：高永金[1] 纪亚丽 邱榕[1] GAO Yong-jin;JI Ya-li;QIU Rong(Dept.of TCM Surgery,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu 212000;Dept.of Urology,Zhenjiang City's Hospital of Integration of TCM and Western Medicine,Jiangsu 212000)

机构地区：[1]江苏大学附属医院中医外科,江苏镇江212000 [2]江苏省镇江市中西医结合医院泌尿外科,江苏镇江212000

出　　处：《中国肛肠病杂志》2023年第3期33-36,共4页Chinese Journal of Coloproctology

基　　金：镇江市科学技术局-中医妇科临床医学研究中心开放性课题(编号:SS202204-KFA03);镇江市第三批老中医药专家学术经验继承项目[编号:镇卫中医(2022)10号]。

摘　　要：目的:探讨RPH联合肛瘘切除术治疗内痔合并低位肛瘘的临床价值。方法:选择2016年1月至2019年12月,本院收治的101例内痔合并低位肛瘘患者,随机分为观察组33例、RPH组32例和肛瘘组36例,分别采用RPH联合肛瘘切除手术、RPH术和肛瘘切除术治疗。观察3组患者手术时间、术中出血量、疗效、肛门功能、并发症及恢复情况等。结果:观察组手术时间长于RPH组与肛瘘组(P<0.05),但与分期手术时间之和基本相近;3组在术中出血量、疗效、肛门功能及并发症方面比较,差异无统计学意义(P>0.05);观察组与RPH组在术后出血及痔核脱落时间方面比较,差异无统计学意义(P>0.05);观察组与肛瘘组在肛瘘切口愈合时间方面比较,差异无统计学意义(P>0.05);3组住院时间比较,差异无统计学意义(P>0.05),但观察组住院时间明显短于分期手术住院时间之和(P<0.05)。结论:内痔合并低位肛瘘同期治疗的手术方式较分期手术,手术效果及恢复情况相当,但能明显缩短住院时间,降低手术费用,具备较好的临床推广价值。Objective To explore the clinical value of RPH combined with resection of anal fistula in the treatment of internal hemorrhoids complicated with low anal fistula. Methods Randomly divided 101 cases met above conditions and treated in authors' hospital(2016-01-2019-12) into observation group(33 cases, received RPH plus resection);RPH group(32 cases, RPH),and anal fistula group(36 cases, resection);then, observed the three groups' operating time, intraoperative bleeding volume, effect, as well as anal function, complication, and their recovered status. Results The operating time of observation group was longer than that of rest two groups(P<0.05),but was similar to the sum of the time at every stage;in intraoperative bleeding volume, effect, anal function and complications there was no statistical difference between the three groups(P>0.05),also, in postoperative bleeding and core lost(exfoliated) time there was no statistical difference between observation group and RPH group(P>0.05);in wound healing time there was no statistical difference between observation group and anal fistula group(P>0.05).The hospitalization time of the three groups had no shorter than the sum of the time at every stage(P<0.05). Conclusion In operative efficacy and recovered status the procedures for homochronously treating internal hemorrhoids complicated low anal fistula are similar to the procedures for treating at every stages, but can significantly shorten hospitalization time, decrease cost, thus has better clinical value.

关 键 词：内痔 低位肛瘘 RPH 肛瘘切除 同期治疗 

分 类 号：R657.16[医药卫生—外科学]