皮桥预开窗引流对混合痔外剥内扎术后康复的影响  

Clinical study of skin bridge preopening window drainage in enhanced recovery of mixed hemorrhoids surgically treated with external dissection and internal ligation

作　　者：吴重福 肖海涛 马敏 李锋 甘圣红 吴雪雪 WU Chongfu;XIAO Haitao;MA Min;LI feng;GAN Shenghong;WU Xuexue(Department of Anorectal,Tianmen Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Traditional Chinese Medicine,Hubei,Tianmen 431700,China)

机构地区：[1]湖北中医药大学附属天门市中医医院肛肠科,431700

出　　处：《临床外科杂志》2024年第2期203-205,共3页Journal of Clinical Surgery

基　　金：湖北省卫生健康委员会中医药科研项目(ZY2021M084)。

摘　　要：目的 探讨皮桥预开窗引流对混合痔外剥内扎术后康复的影响。方法 2021年3月1日~2022年2月28日我院收治外剥内扎术治疗的混合痔病人620例,根据病人办理入院时随机产生住院号尾数的单、双号分为观察组(304例)和对照组(316例)。观察组在对照组常规手术和药物治疗基础上,参照统一评估标准,依据术中对肛门皮桥评估情况,大部分选择实施皮桥预开窗引流。术后采用症状、体征评分量表评估病人肛门水肿和疼痛情况。比较两组病人肛门水肿、肛门疼痛和术后住院时间等。结果 观察组和对照组日均水肿评分分别为0.56分和1.2分,日均疼痛评分分别为0.6分和(1.201+0.289)分,术后平均住院时间分别为8天和10天,两组比较,差异有统计学意义(P<0.05)。结论 皮桥预开窗引流可减轻混合痔外剥内扎术后病人肛门水肿和疼痛程度,提高临床疗效,缩短术后住院时间。Objective To investigate the clinical application of skin bridge preopening window drainage in enhanced recovery of mixed hemorrhoids surgically treated with external dissection and internal ligation.Methods A total of 620 patients with mixed hemorrhoids surgically treated with external dissection and internal ligation were retrospectively analyzed from March 1,2021-February 28,2022.Patients were divided into the observation group(n=304)and the control group(n=316)according to the single and even numbers randomly generated at the time of admission.In the observation group,on the basis of conventional operation and drug treatment in the control group,most of them chose to implement preopening window drainage of the skin bridge according to the intraoperative evaluation of the anal skin bridge according to the unified evaluation criteria.Symptom-sign scoring scale used to evaluate the anal edema and pain after the operation.To compare and analyze differences in anal edema,anal pain and the postoperative hospital stay between the observation group and the control.Results The average daily edema scores of the observation group and the control group were 0.56 and 1.2 points,respectively.The average daily edema score of the observation group was lower than that of the control group,with the statistically significant differences(P<0.05).The average daily pain scores of the observation group and the control group were 0.6 and 1.201+0.289 points,respectively.The average daily pain score of the observation group was lower than that of the control group,with the statistically significant differences(P<0.05).The average hospitalization days of the observation group and the control group were 8 days and 10 days,respectively.The average length of stay in the observation group was less than that in the control group,with the statistically significant differences(P<0.05).Conclusion Skin bridge preopening window drainage can effectively relieve the degree of anal edema and pain in patients with mixed hemorrhoids surgically treate

关 键 词：皮桥 预开窗引流法 混合痔 外剥内扎术 

分 类 号：R657.18[医药卫生—外科学]