吻合器痔上黏膜C形切除钉合术治疗Ⅲ、Ⅳ期痔的疗效观察(1)
【摘要】 目的：探討吻合器痔上黏膜C形切除钉合术治疗Ⅲ、Ⅳ期痔的临床效果。方法：选取本院2016年4-12月住院择期手术的Ⅲ、Ⅳ期痔的患者124例作为研究对象，按照随机数字表法将其分为观察组和对照组，各62例。观察组采用吻合器痔上黏膜C形切除钉合术治疗，对照组采用吻合器痔上黏膜环切术治疗，比较两组的临床疗效、术中出血量、吻合口缝扎止血针数、术后并发症发生及复发情况。结果：观察组术中出血量、吻合口缝扎止血针数均明显少于对照组，差异均有统计学意义(P<0.05)。两组术后吻合口出血和狭窄发生情况比较，差异均有统计学意义(字2=4.133、5.210，P=0.042、0.022);但两组术后疼痛、肛门坠胀、尿潴留、急便感发生情况比较，差异均无统计学意义(P>0.05)。两组总有效率均为100%，两组临床疗效比较差异均无统计学意义(P>0.05)。经过1年随访，观察组有6例复发，对照组有4例，两组复发情况比较，差异无统计学意义(P>0.05)。结论：吻合器痔上黏膜C形切除钉合术与吻合器痔上黏膜环切术治疗Ⅲ、Ⅳ期痔的效果相当，但吻合器痔上黏膜C形切除钉合术具有明显减少术中术后出血及无吻合口狭窄的优势。
【关键词】 痔; 吻合器痔上黏膜环切术; C形切除术
Efficacy of C Shaped Resection of Hemorrhoids with Stapler in the Treatment of Stage Ⅲ and Ⅳ Hemorrhoids/FENG Jingjuan，XIANG Feng，CHENG Jian，et al.//Medical Innovation of China，2019，16(01)：0-065
【Abstract】 Objective：To investigate the clinical effect of C shaped resection of hemorrhoids with stapler in the treatment of stage Ⅲ and Ⅳ hemorrhoids.Method：A total of 124 patients with stage Ⅲ and Ⅳ hemorrhoids who were hospitalized for elective operation in our hospital from April to December 2016 were selected as the research objects.According to the random number table method，they were divided into observation group and control group，62 cases in each group.The observation group was treated with C shaped resection of hemorrhoids with stapler，the control group was treated with procedure for prolapse and hemorrhoids.The clinical efficacy，intraoperative bleeding volume，number of anastomotic suture needles，occurrence of complications and recurrence between the two groups were compared.Result：The intraoperative bleeding volume and number of anastomotic suture needles in the observation group were significantly less than those in the control group，the differences were statistically significant(P<0.05).There were significant differences in the occurrence of postoperative anastomotic bleeding and stenosis between the two groups(字2=4.133，5.210;P=0.042，0.022);but there were no significant differences in the occurrence of postoperative pain，anal distention，urinary retention and fecal urgency between the two groups(P>0.05).The total effective rate of two groups were 100%，the effect of two groups had no significant differences(P>0.05).After follow-up one year，there were 6 cases of recurrence in the observation group and 4 cases in the control group.There was no significant difference in recurrence between the two groups(P>0.05).Conclusion：C shaped resection of hemorrhoids with stapler and procedure for prolapse and hemorrhoids have similar effects in the treatment of stage Ⅲ and Ⅳ hemorrhoids.However，C shaped resection of hemorrhoids with stapler can significantly reduce the risk of intraoperative and postoperative bleeding and no anastomotic stenosis., http://www.100md.com(冯静娟 向锋 程健 苟晔荔)
【关键词】 痔; 吻合器痔上黏膜环切术; C形切除术
Efficacy of C Shaped Resection of Hemorrhoids with Stapler in the Treatment of Stage Ⅲ and Ⅳ Hemorrhoids/FENG Jingjuan，XIANG Feng，CHENG Jian，et al.//Medical Innovation of China，2019，16(01)：0-065
【Abstract】 Objective：To investigate the clinical effect of C shaped resection of hemorrhoids with stapler in the treatment of stage Ⅲ and Ⅳ hemorrhoids.Method：A total of 124 patients with stage Ⅲ and Ⅳ hemorrhoids who were hospitalized for elective operation in our hospital from April to December 2016 were selected as the research objects.According to the random number table method，they were divided into observation group and control group，62 cases in each group.The observation group was treated with C shaped resection of hemorrhoids with stapler，the control group was treated with procedure for prolapse and hemorrhoids.The clinical efficacy，intraoperative bleeding volume，number of anastomotic suture needles，occurrence of complications and recurrence between the two groups were compared.Result：The intraoperative bleeding volume and number of anastomotic suture needles in the observation group were significantly less than those in the control group，the differences were statistically significant(P<0.05).There were significant differences in the occurrence of postoperative anastomotic bleeding and stenosis between the two groups(字2=4.133，5.210;P=0.042，0.022);but there were no significant differences in the occurrence of postoperative pain，anal distention，urinary retention and fecal urgency between the two groups(P>0.05).The total effective rate of two groups were 100%，the effect of two groups had no significant differences(P>0.05).After follow-up one year，there were 6 cases of recurrence in the observation group and 4 cases in the control group.There was no significant difference in recurrence between the two groups(P>0.05).Conclusion：C shaped resection of hemorrhoids with stapler and procedure for prolapse and hemorrhoids have similar effects in the treatment of stage Ⅲ and Ⅳ hemorrhoids.However，C shaped resection of hemorrhoids with stapler can significantly reduce the risk of intraoperative and postoperative bleeding and no anastomotic stenosis., http://www.100md.com(冯静娟 向锋 程健 苟晔荔)