痔疮临床治疗中吻合器痔环切术与传统痔切术疗效分析(1)
[摘要] 目的 探討痔疮临床治疗中吻合器痔环切术与传统痔切术疗效。方法 回顾怀分析2016年4月—2017年12月该院普通外科收治的痔疮患者90例，根据手术方法分组。对照组进行传统手术治疗，观察组行吻合器痔环切术治疗。比较两组痔疮切除效果；手术的平均时间、术中平均出血量、切口愈合平均时间；手术前后患者生存质量平均评分；尿潴留、肛门脱垂和便血等的发生率。 结果 观察组痔疮切除效果45例(100.00%)高于对照组35例(77.78%)(χ2=11.250 0，P<0.05)；观察组手术的平均时间、术中平均出血量、切口愈合平均时间(24.24±5.15)min、(8.13±1.53)mL、(10.52±1.24)d优于对照组(40.45±10.91)min、(16.21±2.71)mL、(12.26±1.57)d，(t=12.301、8.823、8.555，P<0.05)；手术前两组生存质量平均评分相近，(P>0.05)；手术后观察组生存质量平均评分优于对照组(P<0.05)。观察组尿潴留、肛门脱垂和便血等的发生率4例(8.89%)少于对照组11例(24.44%)(χ2=3.920 0，P<0.05)。 结论 痔疮患者行吻合器痔环切术疗效肯定，可有效切除痔疮，减少术中出血和缩短手术时间，切口愈合快，术后生活质量改善更明显，并发症更少。
[关键词] 痔疮；吻合器痔环切术；传统痔切术；疗效
[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742(2018)07(c)-0030-03
Clinical Analysis of Anastomotic Coronal Resection and Traditional Resection in Acne Patients During Clinical Treatment
CHEN Jin-keng
Department of General Surgery， Xiapu County Hospital， Xiapu， Fujian Province， 355100 China
[Abstract] Objective To investigate the efficacy of anastomotic ring closure and traditional resection in the treatment of acne. Methods 90 cases of acne patients admitted to the hospital from April 2016 to December 2017 were grouped according to surgical methods. The control group was treated with traditional surgery， and the observation group was treated with an anastomosis ring. The effect of acne resection was compared between the two groups； average time of operation， mean blood loss during operation， and average time for incision healing； mean quality of life scores before and after surgery； incidence of urinary retention， anal prolapse， and hematochezia were observed. Results The acne resection rate in the observation group was 45 cases(100.00%) higher than that of the control group 35 cases(77.78%)(χ2=11.250 0， P<0.05). The average time of operation， average blood loss during operation， and the average time of wound healing were (24.24±5.15)min， (8.13±1.53)mL and (10.52±1.24)d in the observation group were superior to the control group (40.45±10.91)min， (16.21±2.71)mL， (12.26±1.57)d(t=12.301， 8.823， 8.555， P<0.05)； both groups had similar quality of life scores before surgery(P>0.05)； after surgery， the average score of the quality of life in the observation group was better than that in the control group(P<0.05). The incidence of urinary retention， anal prolapse and hematochezia in the observation group 4cases(8.89%) was less than that of the control group 11 cases(24.44%)(χ2=3.920 0， P<0.05). Conclusion The anesthesia of patients with hemorrhoids has a positive effect， which can effectively remove hemorrhoids， reduce intraoperative bleeding and shorten the operation time. The incision healed quickly， and the postoperative quality of life improved more significantly with fewer complications., http://www.100md.com(陈进铿)
[关键词] 痔疮；吻合器痔环切术；传统痔切术；疗效
[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742(2018)07(c)-0030-03
Clinical Analysis of Anastomotic Coronal Resection and Traditional Resection in Acne Patients During Clinical Treatment
CHEN Jin-keng
Department of General Surgery， Xiapu County Hospital， Xiapu， Fujian Province， 355100 China
[Abstract] Objective To investigate the efficacy of anastomotic ring closure and traditional resection in the treatment of acne. Methods 90 cases of acne patients admitted to the hospital from April 2016 to December 2017 were grouped according to surgical methods. The control group was treated with traditional surgery， and the observation group was treated with an anastomosis ring. The effect of acne resection was compared between the two groups； average time of operation， mean blood loss during operation， and average time for incision healing； mean quality of life scores before and after surgery； incidence of urinary retention， anal prolapse， and hematochezia were observed. Results The acne resection rate in the observation group was 45 cases(100.00%) higher than that of the control group 35 cases(77.78%)(χ2=11.250 0， P<0.05). The average time of operation， average blood loss during operation， and the average time of wound healing were (24.24±5.15)min， (8.13±1.53)mL and (10.52±1.24)d in the observation group were superior to the control group (40.45±10.91)min， (16.21±2.71)mL， (12.26±1.57)d(t=12.301， 8.823， 8.555， P<0.05)； both groups had similar quality of life scores before surgery(P>0.05)； after surgery， the average score of the quality of life in the observation group was better than that in the control group(P<0.05). The incidence of urinary retention， anal prolapse and hematochezia in the observation group 4cases(8.89%) was less than that of the control group 11 cases(24.44%)(χ2=3.920 0， P<0.05). Conclusion The anesthesia of patients with hemorrhoids has a positive effect， which can effectively remove hemorrhoids， reduce intraoperative bleeding and shorten the operation time. The incision healed quickly， and the postoperative quality of life improved more significantly with fewer complications., http://www.100md.com(陈进铿)