[1]侯松濤,張俊仲,崔伯巖,等.痔上黏膜C環切除術治療痔的臨床效果[J].醫學信息,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]
點擊復制

痔上黏膜C環切除術治療痔的臨床效果()
分享到:

醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年20期
頁碼:
91-94
欄目:
臨床研究
出版日期:
2019-10-15

文章信息/Info

Title:
Clinical Effect of Supraorbital Mucosal C-ring Resection for Hernia
文章編號:
1006-1959(2019)20-0091-04
作者:
侯松濤1張俊仲1崔伯巖1王山艷1孫江勇2
(1.天津市濱海新區中醫醫院肛腸科,天津 300000;2.天津中醫藥大學,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)
關鍵詞:
痔上黏膜環形切除釘合術吻合口狹窄C環
Keywords:
HemorrhoidsHemorrhoid mucosa circular resection and nailingStenosis of anastomosis C ring
分類號:
R657.18
DOI:
10.3969/j.issn.1006-1959.2019.20.025
文獻標志碼:
A
摘要:
目的 觀察痔上黏膜C環切除術治療混合痔的臨床療效。方法 取2016年12月~2018年5月我院收治的210例痔病患者為研究對象,隨機分成觀察組和對照組,每組105例。觀察組予痔上黏膜C環切除術治療,對照組采用黏膜環切釘合術(PPH)治療。比較兩組臨床療效、手術時間、住院時間及吻合口狹窄、肛門疼痛、出血發生率。結果 觀察組治愈率為81.90%,手術總有效率為100.00%,對照組治愈率78.10%,手術總有效率100.00%,組間比較,差異無統計學意義(P>0.05);觀察組吻合口狹窄發生率低于對照組,差異有統計學意義(P<0.05);觀察組肛門疼痛程度輕于對照組,差異有統計學意義(P<0.05);兩組出血情況比較,差異無統計學意義(P>0.05);兩組手術時間及住院時間比較,差異無統計學意義(P>0.05)。結論 痔上黏膜C環切除手術可以有效降低PPH術后吻合口狹窄的發生率,減輕術后疼痛,可以針對性地為不同痔病患者提供個體化的手術治療方案。
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.

參考文獻/References:

[1]楊玉剛,楊向東.痔病退變學說的病理生理學探討[J].中國燒傷創瘍雜志,2018,30(5):79-81. [2]唐小龍,馬直勉,孫浩博,等.混合痔手術治療新進展[J].現代生物醫學進展,2015,5(28):5567-5570. [3]羅光輝,張貴聰.PPH手術并發癥的原因及其策略[J].河南外科學雜志,2014,20(3):78-80. [4]吳湛譽.自動痔核套扎術聯合外痔切除術治療混合痔的臨床療效探討[J].臨床普外科電子雜志,2018,6(4):15-17. [5]梁偉兵,馮文參,周美芳.套扎器改良內扎內注與吻合器痔切閉治療Ⅲ、Ⅳ期痔的療效比較[J].中國醫學創新,2017,14(15):12-16. [6]宋默,劉繼攀,王向麗.改良式痔上黏膜環切術與外剝內扎術治療混合痔臨床效果比較[J].中國臨床醫生雜志,2017,45(4):79-82. [7]徐卓犖,阮寧.不同吻合器痔上黏膜切除術術后出血情況的對比分析[J].中外醫學研究,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,黃國學.改良PPH術與外剝內扎術治療環狀混合痔的療效分析[J].中國醫藥指南,2018,16(18):84-85. [12]許躍文.改良PPH術治療混合痔臨床效果觀察[J].吉林醫學,2017,38(7):128-130. [13]鄭喜岳.改良PPH術結合外痔切除治療重度混合痔手術觀察[J].中國實用醫藥,2017,12(3):67-69. [14]唐永福.擋板改良PPH治療混合痔45例臨床效果觀察[J].中國肛腸病雜志,2019,39(3):31-32. [15]楊向東,賀平,錢蒙,等.關于PPH技術的爭論[J].結直腸肛門外科,2014,20(3):209-210. [16]樊文彬,王萬里,杜勇軍,等.TST 手術治療痔病概述[J].實用中醫藥雜志,2012,28(3):241-242.

更新日期/Last Update: 2019-10-15
重庆时时开奖号码k线图