摘要
目的:探讨黏膜环切钉合术(PPH)两种不同荷包缝合高度治疗Ⅲ、Ⅳ期混合痔的临床疗效。方法:2016年12月-2018年12月收治Ⅲ、Ⅳ期混合痔患者80例,随机分为两组,各40例。两组均采用PPH手术治疗,但试验组荷包缝合高度为齿线上2 cm,对照组荷包缝合高度为齿线上4 cm。比较两组效果。结果:两组患者总有效率比较,差异无统计学意义(P>0.05)。两组吻合口出血、创缘水肿、急便感、肛门坠胀等并发症比较,差异有统计学意义(P<0.05)。两组术后疼痛及肛门功能比较,差异无统计学意义(P>0.05)。试验组复发率明显低于对照组,差异有统计学意义(P<0.05)。结论:将荷包缝合高度定位距齿状线以上2 cm的PPH手术可以明显降低并发症和复发率,值得临床推广。
Objective:To explore the clinical efficacy of two different purse suture heights for PPH in the treatment of mixed hemorrhoids of stageⅢandⅣ.Methods:80 patients with mixed hemorrhoids of stageⅢandⅣwere selected from December 2016 to December 2018,they were randomly divided into the two groups with 40 cases in each group,the experimental group was treated with PPH(the height of the purse suture was 2 cm above the tooth line),the control group was treated with PPH(the height of the purse suture was 4 cm on the tooth line).Results:There was no significant difference in total effective rate between the two groups(P>0.05).There were statistically significant differences between the two groups in anastomotic bleeding,wound edge edema,sense of urgency and anal distention(P<0.05),the recurrence rate of the experimental group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:PPH with a height of 2 cm above the dentate line can significantly reduce complications and recurrence rate,it is worthy of clinical application.
作者
李昆伦
丁永红
Li Kunlun;Ding Yonghong(Traditional Chinese Medicine Hospital of Urumqi,Xinjiang Urumqi 830000)
出处
《中国社区医师》
2020年第7期85-86,共2页
Chinese Community Doctors
