传统外剥内扎术与吻合器痔上黏膜环切术治疗痔患者的效果比较  

Comparison of the eff ects of traditional external stripping and internal ligation surgery and stapled hemorrhoidectomy for the treatment of hemorrhoids patients

作　　者：余德生 辛翠颜 张焕长 陈谏开 Yu Desheng;Xin Cuiyan;Zhang Huanchang;Chen Jiankai(General Surgery Department of Qingxin District People’s Hospital in Qingyuan City,Guangdong Qingyuan 511800,China)

机构地区：[1]清远市清新区人民医院普通外科,广东清远511800

出　　处：《临床普外科电子杂志》2025年第1期74-77,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的评估传统外剥内扎术、吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH)应用于痔患者的效果。方法纳入2015年1月至2023年12月清远市清新区人民医院收治的110例痔患者,遵循随机数表法分为对照组(55例,给予传统手术疗法)、观察组(55例,给予PPH痔疮手术疗法),评价组间临床有效率、围手术期指标、并发症发生情况。结果术后1个月,对照组患者有效1例,治愈52例;观察组有效1例,治愈54例。两组患者的有效率均为100%,差异无显著性(χ^(2)=0.000,P=1.000)。与对照组相比,观察组的术中出血量更少,手术时间、住院时间更短,并发症发生率更低,差异均有显著性(P<0.05)。结论传统外剥内扎术、PPH均能有效治疗痔患者,但是后者更能改善围手术期指标,减少并发症发生率。Objective To evaluate the effi cacy of traditional external stripping and internal ligation surgery,as well as procedure for prolapse and hemorrhoids(PPH)with a stapler,in patients with hemorrhoids.Method A total of 110 hemorrhoids patients admitted to Qingxin District People’s Hospital in Qingyuan City from January 2015 to December 2023 were included in the study.They were randomly divided into a control group(55 cases,treated with traditional surgical therapy)and an observation group(55 cases,treated with PPH hemorrhoid surgery)using a random number table.The clinical effi cacy rate,perioperative indicators,and incidence of complications between the groups were evaluated.Result One month after surgery,one patient in the control group was eff ective and 52 patients were cured;One eff ective case was observed in the observation group,and 54 cases were cured.The eff ec-tive rates of both groups of patients were 100%,with no signifi cant diff erence(χ^(2)=0.000,P=1.000).Compared with the control group,the observation group had less intraoperative bleeding,shorter operation time and hospitalization time,and lower incidence of complications,with signifi cant diff erences(P<0.05).Conclusion Both traditional external stripping and internal ligation surgery and PPH can eff ectively treat hemorrhoid patients,but the latter can improve perioperative indicators and reduce the incidence of complications.

关 键 词：外剥内扎术 吻合器痔上黏膜环切术 痔 有效率 

分 类 号：R657.18[医药卫生—外科学]