中国中西医结合外科杂志2024，Vol.30Issue(2)：165-169,5.DOI:10.3969/j.issn.1007-6948.2024.02.003
上提固定结合整形微创治疗Ⅲ、Ⅳ度混合痔的临床研究
Clinical research of lifting fixation combined with minimally invasive plastic surgery for the treatment of Ⅲ or Ⅳ mixed hemorrhoids
摘要
Abstract
Objective To study the clinical efficacy of lifting fixation combined with minimally invasive plastic surgery for the treatment of Ⅲ or Ⅳ mixed hemorrhoids.Methods 80 patients with mixed hemorrhoids in the undergraduate ward from January 2021 to March 2022 were included as research subjects.They were divided into treatment group and control group according to the order of single and double day visits,with 40 cases in each group.Patients in the treatment group received lifting fixation combined with minimally invasive plastic surgery,and milligan-morgan hemorrhoidectomy was performed in the control group.The clinical efficacy,pain scores,perianal edema score and hematochezia scores on the days of 1st,3rd and 7th after surgery were compared between the two groups.The time of first bowel movement,time to disappearance of defecation pain,disappearance of blood in stool,length of hospital stay,recovery time of the two groups and postoperative function evaluation and recurrence were compared.Results The overall efficacy of the treatment group was 95％higher than that of the control group by 90％,but the difference was not statistically significant(P＞0.05).The VAS pain score,perianal edema score and hematochezia score in the treatment group were lower than those in the control group at 1st,3rd and 7th days after surgery,which the differences were statistically significant(P＜0.05).The first bowel movement time,defecation pain disappearance time,blood in the stool disappearance time,length of hospital stay and recovery time of the treatment group were all lower than those in the control group,which the differences were statistically significant(P＜0.05).The Wexner scores of incontinence in the treatment group were significantly lower than those in the control group(P＜0.05)at 1 week and 1 month after surgery,while there was no significant difference in the scores between the two groups at 4 months postoperative and 8 months after surgery(P＞0.05).At 8 months postoperative telephone follow-up,no recurrence was reported in either group.Conclusion Lifting fixation combined with minimally invasive plastic surgery has a definite effect on the treatment of mixed hemorrhoids,and it has obvious advantages in reducing postoperative pain,perianal edema,blood in the stool and lowering the impact of surgery on function.关键词
混合痔/内痔注射/自动定量弹力线痔套扎术/整形微创Key words
Mixed hemorrhoids/internal hemorrhoidal injections/automatic quantitative elastic line hemorrhoidal ligation/minimally invasive plastic surgery分类
医药卫生引用本文复制引用
陈鹏,杭春平..上提固定结合整形微创治疗Ⅲ、Ⅳ度混合痔的临床研究[J].中国中西医结合外科杂志,2024,30(2):165-169,5.基金项目
盐城市医学科技发展计划项目(YK2020114) （YK2020114）
