中国医学创新2019，Vol.16Issue(1)：62-65,4.DOI:10.3969/j.issn.1674-4985.2019.01.016
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
Efficacy of C Shaped Resection of Hemorrhoids with Stapler in the Treatment of Stage Ⅲ and Ⅳ Hemorrhoids
冯静娟 1向锋 1程健 1苟晔荔1
作者信息
- 1. 四川省医学科学院·四川省人民医院,四川 成都 610072
- 折叠
摘要
Abstract
Objective:To investigate the clinical effect of C shaped resection of hemorrhoids with stapler in the treatment of stageⅢandⅣhemorrhoids.Method:A total of 124 patients with stageⅢandⅣhemorrhoids 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 stageⅢandⅣhemorrhoids.However, C shaped resection of hemorrhoids with stapler can significantly reduce the risk of intraoperative and postoperative bleeding and no anastomotic stenosis.关键词
痔/吻合器痔上黏膜环切术/C形切除术Key words
Hemorrhoids/Procedure for prolapse and hemorrhoids/C shaped excision引用本文复制引用
冯静娟,向锋,程健,苟晔荔..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[J].中国医学创新,2019,16(1):62-65,4.
