保留齿线内扎外剥缝合术治疗混合痔效果观察  

Observation on the Effect of External Suture for Mixed Hemorrhoids

作　　者：华琳 丁义山 Hua Lin;Ding Yishan(Yangzhou Miaohand Hospital of Traditional Chinese Medicine,Yangzhou Jiangsu 225000,China)

机构地区：[1]扬州妙手中医医院,江苏扬州225000

出　　处：《生命科学仪器》2024年第1期135-137,共3页Life Science Instruments

摘　　要：目的探讨保留齿线内扎外剥缝合术治疗混合痔的临床效果。方法选取2020年1月至2023年8月扬州妙手中医医院收治的混合痔患者62例为研究对象,根据治疗方法不同分为A组与B组,各31例。A组采用保留齿线内扎外剥缝合术,B组采用传统外剥内扎术。对比两组治疗效果、手术指标、恢复时间、术后并发症及生活质量。结果与B组相比,A组治疗总有效率更高,差异有统计学意义(P<0.05)。与B组相比,A组创面愈合时间与脱线时间更短,VAS评分与舒适度评分均更低,差异有统计学意义(P<0.05)。与B组相比,A组术后并发症发生率更低,差异有统计学意义(P<0.05)。A组干预后SF-36各维度评分均较对照组更高,差异有统计学意义(P<0.05)。结论保留齿线内扎外剥缝合术治疗混合痔的临床效果显著、创伤小、术后患者疼痛轻、创面愈合快,并可减少术后并发症,提高患者生活质量。Objective:To Objective to explore the clinical effect of internal ligation and external stripping suture with tooth thread reserved in the treatment of mixed hemorrhoids.Methods:Sixty-two patients with mixed hemorrhoids admitted to Yangzhou Miaoshou Chinese Medicine Hospital from January 2020 to August 2023 were selected as the research object,and were divided into group A and group B according to different treatment methods,with 31 cases in each group.Group A was treated with internal ligation and external stripping suture while Group B was treated with traditional external stripping and internal ligation.The therapeutic effect,surgical indicators,recovery time,postoperative complications and quality of life were compared between the two groups.Results:Compared with group B,the total effective rate in group A was higher,and the difference was statistically significant(P<0.05).Compared with group B,the wound healing time and off-line time in group A were shorter,and the VAS score and comfort score were lower,the difference was statistically significant(P<0.05).Compared with group B,the incidence of postoperative complications in group A was lower,with statistical significance(P<0.05).After the intervention,the scores of SF-36 in group A were higher than those in control group,and the difference was statistically significant(P<0.05).Conclusion:The treatment of mixed hemorrhoid with internal ligation and external stripping suture with tooth thread preservation has obvious clinical effect,less trauma,less postoperative pain and faster wound healing,and can reduce postoperative complications and improve the quality of life of patients.

关 键 词：混合痔 保留齿线内扎外剥缝合术 传统外剥内扎术 

分 类 号：R657.1[医药卫生—外科学]