[1]侯松涛,张俊仲,崔伯岩,等.痔上黏膜C环切除术治疗痔的临床效果[J].医学信息,2019,(20):91-94.[doi:10.3969/j.issn.1006-1959.2019.20.025]
 HOU Song-tao,ZHANG Jun-zhong,CUI Bo-yan,et al.Clinical Effect of Supraorbital Mucosal C-ring Resection for Hernia[J].Medical Information,2019,(20):91-94.[doi:10.3969/j.issn.1006-1959.2019.20.025]
点击复制

痔上黏膜C环切除术治疗痔的临床效果()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年20期
页码:
91-94
栏目:
临床研究
出版日期:
2019-10-15

文章信息/Info

Title:
Clinical Effect of Supraorbital Mucosal C-ring Resection for Hernia
文章编号:
1006-1959(2019)20-0091-04
作者:
侯松涛1张俊仲1崔伯岩1王山艳1孙江勇2
(1.天津市滨海新区中医医院肛肠科,天津 300000;2.天津中医药大学,天津 300000)
Author(s):
HOU Song-tao1ZHANG Jun-zhong1CUI Bo-yan1WANG Shan-yan1SUN Jiang-yong2
(1.Department of Anorectal Surgery,Tianjin Binhai New Area Traditional Chinese Medicine Hospital,Tianjin 300000,China;2.Tianjin University of Traditional Chinese Medicine,Tianjin 300000,China)
关键词:
痔上黏膜环形切除钉合术吻合口狭窄C环
Keywords:
HemorrhoidsHemorrhoid mucosa circular resection and nailingStenosis of anastomosis C ring
分类号:
R657.18
DOI:
10.3969/j.issn.1006-1959.2019.20.025
文献标志码:
A
摘要:
目的 观察痔上黏膜C环切除术治疗混合痔的临床疗效。方法 取2016年12月~2018年5月我院收治的210例痔病患者为研究对象,随机分成观察组和对照组,每组105例。观察组予痔上黏膜C环切除术治疗,对照组采用黏膜环切钉合术(PPH)治疗。比较两组临床疗效、手术时间、住院时间及吻合口狭窄、肛门疼痛、出血发生率。结果 观察组治愈率为81.90%,手术总有效率为100.00%,对照组治愈率78.10%,手术总有效率100.00%,组间比较,差异无统计学意义(P>0.05);观察组吻合口狭窄发生率低于对照组,差异有统计学意义(P<0.05);观察组肛门疼痛程度轻于对照组,差异有统计学意义(P<0.05);两组出血情况比较,差异无统计学意义(P>0.05);两组手术时间及住院时间比较,差异无统计学意义(P>0.05)。结论 痔上黏膜C环切除手术可以有效降低PPH术后吻合口狭窄的发生率,减轻术后疼痛,可以针对性地为不同痔病患者提供个体化的手术治疗方案。
Abstract:
Objective To observe the clinical effect of supraorbital mucosal C-ring resection for mixed hemorrhoids.Methods A total of 210 patients with rickets admitted to our hospital from December 2016 to May 2018 were randomly divided into observation group and control group, with 105 cases in each group. The observation group was treated with supraorbital mucosal C-ring resection, and the control group was treated with mucosal ring-cutting (PPH). The clinical efficacy, operation time, hospital stay and anastomotic stenosis, anal pain, and bleeding rate were compared between the two groups. Results The cure rate of the observation group was 81.90%, the total effective rate was 100.00%, the cure rate of the control group was 78.10%, and the total effective rate was 100.00%. There was no significant difference between the groups (P>0.05). The incidence of anastomotic stenosis was lower in the observation group than in the control group,the difference was statistically significant (P<0.05). The degree of anal pain in the observation group was lighter than that in the control group,the difference was statistically significant (P<0.05). There was no significant difference in the bleeding between the two groups (P>0.05). There was no significant difference in the operation time and hospitalization time between the two groups (P>0.05). Conclusion The supraorbital mucosal C-ring resection can effectively reduce the incidence of anastomotic stenosis after PPH and reduce postoperative pain. It can provide individualized surgical treatment for different rickets.

参考文献/References:

[1]杨玉刚,杨向东.痔病退变学说的病理生理学探讨[J].中国烧伤创疡杂志,2018,30(5):79-81. [2]唐小龙,马直勉,孙浩博,等.混合痔手术治疗新进展[J].现代生物医学进展,2015,5(28):5567-5570. [3]罗光辉,张贵聪.PPH手术并发症的原因及其策略[J].河南外科学杂志,2014,20(3):78-80. [4]吴湛誉.自动痔核套扎术联合外痔切除术治疗混合痔的临床疗效探讨[J].临床普外科电子杂志,2018,6(4):15-17. [5]梁伟兵,冯文参,周美芳.套扎器改良内扎内注与吻合器痔切闭治疗Ⅲ、Ⅳ期痔的疗效比较[J].中国医学创新,2017,14(15):12-16. [6]宋默,刘继攀,王向丽.改良式痔上黏膜环切术与外剥内扎术治疗混合痔临床效果比较[J].中国临床医生杂志,2017,45(4):79-82. [7]徐卓荦,阮宁.不同吻合器痔上黏膜切除术术后出血情况的对比分析[J].中外医学研究,2018,16(26):13-16. [8]Zheng C,Jin C,Lian S,et al.Efficacy of retained rectal posterior mucosa in procedure for prolapse and hemorrhoids[J].Chinese journal of gastrointestinal surgery,2014,17(12):1205-1207. [9]Pescatori M,Aigner F.Stapledtransanal rectal mucosectomy ten years later[J].Tech Coloproctol,2007(16):1-6. [10]Ho KS,Ho YH.Prospective randomized trial comparing stapled hemorrhoidoPexy versus closed Ferguson hemorrhoidectomy[J].Tech Coloproctol,2006(10):193-197. [11]王定前,黄国学.改良PPH术与外剥内扎术治疗环状混合痔的疗效分析[J].中国医药指南,2018,16(18):84-85. [12]许跃文.改良PPH术治疗混合痔临床效果观察[J].吉林医学,2017,38(7):128-130. [13]郑喜岳.改良PPH术结合外痔切除治疗重度混合痔手术观察[J].中国实用医药,2017,12(3):67-69. [14]唐永福.挡板改良PPH治疗混合痔45例临床效果观察[J].中国肛肠病杂志,2019,39(3):31-32. [15]杨向东,贺平,钱蒙,等.关于PPH技术的争论[J].结直肠肛门外科,2014,20(3):209-210. [16]樊文彬,王万里,杜勇军,等.TST 手术治疗痔病概述[J].实用中医药杂志,2012,28(3):241-242.

更新日期/Last Update: 2019-10-15