PPH联合HCPT治疗重度环状混合痔临床分析
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摘要
目的探讨高频电容场痔疮治疗技术、吻合器痔上黏膜环切钉合术联合应用于重度环状混合痔的临床治疗价值。方法选取我院收治的90例重度环状混合痔患者作为研究对象。利用随机数字表法,将本次研究均分为研究组(n=45)与对照组(n=45)。对照组采用PPH治疗,研究组采PPH联合HCPT治疗。记录两组患者的手术情况、预后情况相关指标,将所得数据输入统计学软件后予以相应分析。结果两组患者均顺利完成相应方案外科手术治疗。对照组手术时间少于研究组,研究组术后住院时间少于对照组,组间比较,差异均具有统计学意义(P<0.05);两组术中出血量对比,差异无统计学意义(P> 0.05);研究组术后不良反应发生率(6.67%)低于对照组(31.11%),组间比较,差异具有统计学意义(P <0.05)。结论应用PPH、HCPT联合治疗重度环状混合痔有效性、安全性均较优。
Objective To explore the clinical value of combined application of high-frequency capacitive field hemorrhoids treatment technology and stapler hemorrhoid mucosal ring stapling on hemorrhoids in the treatment of severe annular mixed hemorrhoids. Methods 90 cases of patients with severe circumferential mixed hemorrhoids admitted to our hospital were selected as the research objects. The study was divided into study group(n = 45) and control group(n = 45) by random number table method. The control group was treated with PPH. The study group was treated with PPH and HCPT. The operation and prognosis of the two groups were recorded, and the data were input into the statistical software and analyzed accordingly. Results Both groups successfully completed the corresponding surgical treatment. The operation time of the control group was less than that of the study group, and the hospitalization time of the study group was less than that of the control group. The difference between the two groups was statistically significant(P < 0.05). There was no significant difference in intraoperative bleeding between the two groups(P > 0.05). The incidence of adverse reactions in the study group(6.67%) was lower than that in the control group(31.11%). There was a significant difference between the two groups(P < 0.05). Conclusion PPH and HCPT are effective and safe in the treatment of severe annular mixed hemorrhoids.
Objective To explore the clinical value of combined application of high-frequency capacitive field hemorrhoids treatment technology and stapler hemorrhoid mucosal ring stapling on hemorrhoids in the treatment of severe annular mixed hemorrhoids. Methods 90 cases of patients with severe circumferential mixed hemorrhoids admitted to our hospital were selected as the research objects. The study was divided into study group(n = 45) and control group(n = 45) by random number table method. The control group was treated with PPH. The study group was treated with PPH and HCPT. The operation and prognosis of the two groups were recorded, and the data were input into the statistical software and analyzed accordingly. Results Both groups successfully completed the corresponding surgical treatment. The operation time of the control group was less than that of the study group, and the hospitalization time of the study group was less than that of the control group. The difference between the two groups was statistically significant(P < 0.05). There was no significant difference in intraoperative bleeding between the two groups(P > 0.05). The incidence of adverse reactions in the study group(6.67%) was lower than that in the control group(31.11%). There was a significant difference between the two groups(P < 0.05). Conclusion PPH and HCPT are effective and safe in the treatment of severe annular mixed hemorrhoids.
引文
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[10]孔维民,王吉侯.选择性痔上黏膜切除钉合术与痔上黏膜环切钉合术治疗环状混合痔的临床比较[J].临床外科杂志,2016,24(1):74-75.
[11]唐茂山.吻合器痔上黏膜环切钉合术联合超声刀痔切除治疗重度混合痔的临床效果[J].中国医疗器械信息,2017,23(14):94-95.
[12]叶辉,龚治林,周启昌,等.血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析[J].重庆医学,2017,46(14):1938-1940.
[2]万子昂.PPH手术与传统痔切除术临床疗效对比[J].浙江创伤外科,2016,21(5):966-968.
[3]毕金宝.痔动脉结扎结合HCPT术治疗混合痔临床应用[J].中国肛肠病杂志,2017,37(3):23.
[4]张安国.保留齿状线分段缝扎微创术治疗混合痔45例临床观察[J].中国民族民间医药,2015,24(16):107-108.
[5]王小龙,郑学海,谢贻祥,等.PPH联合超声刀痔切除在重度混合痔中的临床观察[J].安徽医药,2015,19(8):1495-1497.
[6]蒋俊杰,朱健,袁海健,等.HCPT治疗低位肛瘘合并混合痔的疗效观察[J].医学理论与实践,2017,30(6):852-853.
[7]曾昭培.ZZ型肛肠综合治疗仪HCPT治疗混合痔60例疗效观察[J].今日健康,2016,15(12):24-24.
[8]宋昱霖.用三联疗法治疗环状混合痔的效果研究[J].当代医药论丛,2016,14(19):19-20.
[9]叶辉,龚治林,周启昌,等.痔上黏膜环切钉合术与外剥内扎术对老年环状混合痔患者术后肛门功能的影响[J].中国老年学杂志,2016,36(23):5940-5941.
[10]孔维民,王吉侯.选择性痔上黏膜切除钉合术与痔上黏膜环切钉合术治疗环状混合痔的临床比较[J].临床外科杂志,2016,24(1):74-75.
[11]唐茂山.吻合器痔上黏膜环切钉合术联合超声刀痔切除治疗重度混合痔的临床效果[J].中国医疗器械信息,2017,23(14):94-95.
[12]叶辉,龚治林,周启昌,等.血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析[J].重庆医学,2017,46(14):1938-1940.