改进弹力线套扎治疗老年混合痔合并便秘的疗效与安全性分析  

Analysis on Efficacy and Safety of Improved Elastic Thread Ligation in Treatment of Senile Mixed Hemorrhoids Complicated with Constipation

作　　者：张楠 ZHANG Nan(Department of Coloproctology,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu 221000)

机构地区：[1]徐州市中医院肛肠科,江苏徐州221000

出　　处：《中国肛肠病杂志》2025年第3期36-38,共3页Chinese Journal of Coloproctology

摘　　要：目的:探讨与分析改进弹力线套扎治疗老年混合痔合并便秘患者的疗效与安全性。方法:选取2021年2月至2023年2月,本院收治的88例老年混合痔合并便秘患者,采用随机抽签法分为改进组与传统组,每组各44例。传统组给予传统外剥内扎术治疗,改进组给予改进弹力线套扎治疗。记录2组疗效与安全性情况。结果:2组患者手术时间比较,差异无统计学意义(P>0.05);改进组术中出血量、创面愈合时间、住院时间均明显少于传统组(P<0.05);术后1个月,改进组总有效率为97.73%,高于传统组的86.36%(P<0.05);并发症发生率为4.55%,低于传统组的22.72%(P<0.05);肛缘皮赘形成和肛门狭窄评分均低于传统组(P<0.05)。结论:改进弹力线套扎治疗老年混合痔合并便秘能减少患者术中出血量、缩短创面愈合时间和住院时间,提高临床疗效,减少术后肛缘皮赘形成和肛门狭窄的发生,降低并发症发生率。Objective To explore and analyze the efficacy and safety of improved elastic thread ligation in the treatment of senile mixed hemorrhoids complicated with constipation.Methods A total of 88 elderly patients with mixed hemorrhoids complicated with constipation admitted to our hospital from February 2021 to February 2023 were randomly divided into the improved group and the traditional group with 44 cases in each group.The traditional group was treated with Milligan-Morgan hemorrhoidectomy(MMH),and the improved group was given improved elastic thread ligation.The efficacy and safety of the two groups were recorded.Results There was no significant difference in operation time between the two groups(P>0.05).The amount of blood loss,wound healing time and hospital stay in the improved group were significantly lower than those in the traditional group(P<0.05).One month after operation,the total effective rate of the improved group was 97.73%,which was higher than that of the traditional group(86.36%)(P<0.05).The incidence of complications was 4.55%,lower than 22.72% in the traditional group(P<0.05).The scores of anal skin tag formation and anal stenosis were lower than those of traditional group(P<0.05).Conclusion Improved elastic thread ligation in the treatment of senile mixed hemorrhoids complicated with constipation can reduce intraoperative blood loss,shorten wound healing time and hospital stay,improve clinical efficacy,reduce the formation of postoperative anal skin tag and the occurrence of anal stenosis,and lower the incidence of complications.

关 键 词：混合痔 老年人 便秘 改进弹力线套扎 疗效 

分 类 号：R657.1[医药卫生—外科学]