小切口外痔剥离加内痔缝扎术对环状混合痔患者术后创面愈合时间及肛门功能的影响

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英文篇名：Effect of Small Incision External Malleolus Stripping and Internal Malleolus Suture Ligation on Wound Healing Time and Anal Function in Patients with Annular Mixed Hemorrhoids 作者：陈绍林 ; 朱林夕 ; 王广伟 英文作者：CHEN Shao-lin;ZHU Lin-xi;WANG Guang-wei;General Surgery Department of Maternal and Child Health Hospital in Pingdingshan City of Henan Province;General Surgery Department of Xuchang City Hospital in Henan Province; 关键词：环状混合痔 ; 小切口外痔剥离术 ; 内痔缝扎术 英文关键词：Annular mixed hemorrhoids;;Small incision external hemorrhoids;;Internal malleolus suture 中文刊名：SZXL 英文刊名：Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine 机构：河南省平顶山市妇幼保健院普外科;河南省许昌市立医院普外科; 出版日期：2019-01-25 出版单位：实用中西医结合临床 年：2019 期：v.19 语种：中文; 页：SZXL201901004 页数：3 CN：01 ISSN：36-1251/R 分类号：14-16

摘要

目的:探究小切口外痔剥离加内痔缝扎术对环状混合痔患者术后创面愈合时间及肛门功能的影响。方法:选取2016年8月～2018年1月我院收治的110例环状混合痔患者作为研究对象,根据手术方案的不同分为对照组和研究组,每组55例。对照组采用常规外痔剥离加内痔缝扎术治疗,研究组采用小切口外痔剥离加内痔缝扎术治疗。比较两组的治疗效果、术后康复情况和肛门功能。结果:两组的治疗总有效率相比较,差异无统计学意义,P>0.05;研究组治愈率为96.36%,高于对照组的81.82%,差异有统计学意义,P<0.05;研究组术后24 h出血量少于对照组,研究组术后首次排便时间和创面愈合时间短于对照组,差异均有统计学意义,P<0.05;术后3个月,研究组肛门控便、感觉和闭合各项功能评分均低于对照组,差异有统计学意义,P<0.05。结论:采用小切口外痔剥离加内痔缝扎术治疗环状混合痔患者,能显著提高治愈率,且患者术后出血量少,排便时间和创面愈合时间短,肛门功能恢复效果更佳。
        Objective: To explore the effect of small incision external malleolus stripping and internal malleolus suture on the wound healing time and anal function in patients with annular mixed hemorrhoids. Methods: From August 2016 to January 2018, 110 patients with annular mixed hemorrhoids in our hospital were selected as the the study objects. According to the different surgical schemes, they were divided into control group and study group, with 55 cases in each group. The control group was treated by routine external hemorrhoids stripping and internal hemorrhoids suture, while the study group was treated with small incision external hemorrhoids stripping and internal hemorrhoids suture. To compared the therapeutic effect, postoperative rehabilitation and anal function of the two groups. Results: There was no significant difference in the total effective rate between the two groups, P>0.05; and the cure rate in the study group was 96.36%, higher than that in the control group(81.82%), the difference was statistically significant, P<0.05. The amount of bleeding at 24 hours after operation in the study group was less than that in the control group, and the first defecation time and wound healing time in the study group were shorter than that in the control group, the differences were statistically significant, P<0.05. 3 months after the operation, the functioal scores of anal control stool, sensation and closure in the study group were lower than those in the control group, the differences were statistically significant, P <0.05. Conclusion: Use small incision external malleolus stripping plus internal malleolus suture to treat the patients with annular mixed hemorrhoids can significantly improve the cure rate, the patients have less bleeding, shorter defecation time and wound healing time, and better anal function recovery.

引文

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