摘要
目的:分析肛门整复术联合改良外剥内扎术在多发性混合痔中的应用价值。方法:回顾性选取2020年6月至2023年3月在本院行手术治疗的多发性混合痔患者112例,根据手术方式的不同分为改良组(改良外剥内扎术治疗,n=47)和联合组(肛门整复术联合改良外剥内扎术治疗,n=65)。比较两组患者围术期指标;评估两组疗效及手术后肛门疼痛程度;比较手术前后肛门光滑度、肛缘水肿程度及便血情况,并记录并发症发生情况。结果:联合组住院时间短于改良组(P<0.05)。联合组总有效例数多于改良组(P<0.05)。术后随时间变化,两组VAS评分均逐渐降低,且联合组术后1、3、5d的VAS评分均低于改良组(P<0.05)。术后3d联合组肛门光滑度、肛缘水肿度和便血评分均低于改良组,且差值均高于改良组(P<0.05)。联合组并发症发生率低于改良组(P<0.05)。结论:多发性混合痔患者予以肛门整复术联合改良外剥内扎术治疗疗效较好,可减轻术后疼痛,改善肛门光滑度、肛缘水肿度,减少便血和并发症的发生。
Objective:To analyze the application value of anal restitution combined with modified exter-nal dissection and internal ligation in multiple mixed hemorrhoids.Methods:A total of 112 patients with mul-tiple mixed hemorrhoids undergoing surgical treatment in the hospital were retrospectively enrolled between June 2020 and March 2023.According to different surgical methods,they were divided into modified group(modified external dissection and internal ligation,n=47)and combination group(anal restitution on basis of modified group,n=65).The perioperative indexes were compared between the two groups.The curative effect and postoperative anal pain in the two groups were evaluated.The anal smoothness,edema of anal mar-gin and hemafecia were compared before and after surgery,and the occurrence of complications was recorded.Results:The hospitalization time in combination group was shorter than that in modified group(P<0.05).The total number of effective cases in combination group was more than that in modified group(P<0.05).With time,VAS scores were gradually decreased in both group.At 1d,3d and 5d after surgery,VAS scores in combination group were lower than those in modified group(P<0.05).At 3d after surgery,scores of anal smoothness,anal margin edema and hemafecia in combination group were lower than those in modified group,and difference values were greater than those in improved group(P<0.05).Compared with the modified group,the combination group had a lower complication rate(P<0.05).Conclusion:The curative effect of a-nal restitution combined with modified external dissection and internal ligation is good on multiple mixed hem-orrhoids,which can relieve postoperative pain,improve anal smoothness and anal margin edema,reduce the occurrence of hemafecia and complications.
作者
陈旭渊
罗仕云
李文忠
李毅
何家杰
CHEN Xuyuan;LUO Shiyun;LI Wenzhong(Chengdu 363th Hospital Affiliated to Southwest Medical University,Sichuan Chengdu 610000,China)
出处
《河北医学》
CAS
2024年第4期674-678,共5页
Hebei Medicine
基金
四川省医学会科研课题计划(编号:S20068)。
关键词
肛门整复术
改良外剥内扎术
多发性混合痔
疗效
并发症
Anal restitution
Modified external dissection and internal ligation
Multiple mixed hemorrhoid
Curative effect
Complication
