| 梁裕团,戎祯祥,熊焰,等.自动痔疮套扎术联合 LigaSure痔切除术治疗 Ⅱ、Ⅲ度混合痔 58例[J].安徽医药,2022,26(2):343-346. |
| 自动痔疮套扎术联合 LigaSure痔切除术治疗 Ⅱ、Ⅲ度混合痔 58例 |
| Automatic hemorrhoid ligation combined with LigaSure hemorrhoidectomy in the treatment of 58 cases of grade Ⅱ and Ⅲ mixed hemorrhoids |
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| DOI：10.3969/j.issn.1009-6469.2022.02.032 |
| 中文关键词: 痔 痔切除术 自动痔疮套扎术 LigaSure痔切除术 混合痔 |
| 英文关键词: Hemorrhoids Hemorrhoidectomy Automatichemorrhoidligation LigaSurehemorrhoidectomy Mixedhemorrhoids |
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| 中文摘要: |
| 目的观察自动痔疮套扎术( RPH)联合 LigaSure痔切除术治疗 Ⅱ、Ⅲ度混合痔的临床疗效。方法回顾性分析 2017年 12月至 2018年 12月顺德新容奇医院收治的 Ⅱ、Ⅲ度混合痔病人 120例，按照手术方法的不同，分为观察组(接受 RPH术联合 LigaSure痔切除术治疗) 58例及对照组［接受吻合器痔上黏膜环切术( PPH)联合外剥内扎术治疗］ 62例。比较两组在手术时间、术中出血量、住院天数、住院费用、术后疼痛、术后尿潴留发生率、术后出血、肛门失禁、术后复发、术后肛门狭窄等的差异。结果观察组手术时间［( 26.93±4.29)min比( 43.81±8.83)min］、术中出血量［( 4.00±2.42)mL比( 19.31±5.34)mL］、住院天数［( 5.90±0.76)d比( 7.55±1.14)d］、住院费用［( 7 587.64±101.64)元比( 7 990.19±123.44)元］均低于对照组( P<0.05)两组术后尿 |
| 英文摘要: |
| Objective To observe the clinical effect of automatic hemorrhoid ligation (RPH) combined with LigaSure hemorrhoidec.tomy in the treatment of grade Ⅱ and Ⅲ mixed hemorrhoids.Methods The clinical data of 120 patients with mixed grade Ⅱ and Ⅲhemorrhoids who were treated in Shunde New Rongqi Hospital from December 2017 to December 2018 were retrospectively analyzed.They were assigned into observation groups (patients received RPH combined with LigaSure hemorrhoidectomy, n=58) and the controlgroup [patients received procedure for prolapse and hemorrhoids (PPH) combined with external stripping and ligation, n=62] accordingto different surgical methods. The differences in surgical time, intraoperative blood loss, length of hospital stay, hospitalization cost,postoperative pain, postoperative urinary retention, postoperative bleeding, anal incontinence, postoperative recurrence, and postopera.tive anal stenosis were compared between the two groups.Results The operation time [(26.93±4.29) min vs. (43.81±8.83) min], intra. operative blood loss [(4.00±2.42) mL vs. (19.31±5.34) mL], length of hospital stay [(5.90±0.76) d vs. (7.55±1.14) d], and hospitalization cost [(7 587.64±101.64) vs. (7 990.19±123.44)] of the observation group were all lower than those of the control group (P<0.05). Therewas no statistically significant difference in postoperative urinary retention, postoperative bleeding, anal incontinence, postoperative re.currence, and postoperative anal stenosis between the two groups (P>0.05). There was no significant difference in the VAS pain scorebetween the two groups on the 1st, 2nd, and 3rd postoperative days (P>0.05). The VAS pain score of the observation group on the 4th and 7th postoperative days was lower than that of the control group (P<0.05).Conclusions RPH combined with LigaSure hemorrhoid.ectomy is safe and effective in treating patients with grade Ⅱ and Ⅲ mixed hemorrhoids, which can help shorten the operation time andreduce the amount of intraoperative bleeding compared with PPH combined with external hemorrhoidectomy. |
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