岭南现代临床外科Issue(3)：317-320,4.DOI:10.3969/j.issn.1009-976X.2014.03.026
抗凝治疗的内痔患者行吻合器痔上黏膜环切术的治疗体会
Clinical experience for prolapse and hemorrhoids in treatment of hemorrhoids in anticoagulated patients
侯辉 1余智涛 1王悦辉1
作者信息
- 1. 514031 广东梅州 梅州市人民医院肛肠外科
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of surgical procedure for prolapse and hemorrhoids (PPH) in patients treating with anticoagulant (anticoagulated group). Methods From Jan 2009 to Dec 2011,36 patients with cardiovascular diseases treated with anticoagulant and 49 patients without anticoagulated therapy (control group) were included in this study. All patients underwent procedure for prolapse and hemorrhoids. A comparison was done between the two groups in terms of the following items: operation time, intraoperative and postoperative blood loss and the incidence of cardiovascular and cerebrovascular diseases,postoperative cure rate of prolapse and bleeding, significant postoperative anal pain,incontinence,anal stenosis,and hospital stay. Results All patients were cured. The differences between the anticoagulated group and control group were significant in terms of and postoperative blood loss(P<0.05),and no significant differences were noted in other items. Postoperative hemorrhage with a volume of 200ml to 500 ml happened in one case in anticoagulated group and 2 cases in control group, and were cured by conservative treatment. No case needed blood transfusion. Conclusion It is safe and effective for patients with cardiovascular diseases treated with anticoagulant.关键词
吻合器痔上黏膜环切术/抗凝治疗/内痔Key words
Procedure for prolapse and hemorrhoids/Anticoagulant therapy/Hemorrhoids分类
医药卫生引用本文复制引用
侯辉,余智涛,王悦辉..抗凝治疗的内痔患者行吻合器痔上黏膜环切术的治疗体会[J].岭南现代临床外科,2014,(3):317-320,4.
