结直肠肛门外科2024，Vol.30Issue(4)：455-459,5.DOI:10.19668/j.cnki.issn1674-0491.2024.04.009
基于"存体寡损"理论的痔上黏膜次环切术治疗环状混合痔的随机对照研究
Randomized controlled study on the treatment of circumferential mixed hemorrhoids with submucosal hemorrhoidectomy based on the theory of"preserving tissue with minimal damage"
摘要
Abstract
Objectives To investigate the efficacy of submucosal hemorrhoidectomy(abbreviated as"large C-loop"tech-nique)for the treatment of circumferential mixed hemorrhoids using a randomized controlled study.Methods A total of 106 patients with circumferential mixed hemorrhoids who visited the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2023 to September 2023 were enrolled as study subjects and randomly divided into a control group(treated with procedure for prolapse and hemorrhoids)and an observation group(treated with the"large C-loop"technique).The anal distension(anal distension scores)on postoperative day 1 and day 7,quality of life(measured by the 5-level version of EuroQol five dimensions questionnaire,EQ-5D-5L)on postoperative day 7 and 1 month,and postoperative complications(such as secondary bleeding and anal stenosis)were compared between the two groups.Results The anal distension scores on postoperative day 1 and day 7 in the observation group were signifi-cantly lower than those in the control group,with statistically significant differences(P＜0.05).On postoperative day 7,the EQ-5D-5L scores in the observation group were significantly lower than those in the control group,with a statisti-cally significant difference(P＜0.05).However,there was no statistically significant difference in EQ-5D-5L scores between the two groups at 1 month postoperatively(P＞0.05).No statistically significant difference was found in postoperative complications between the two groups(P＞0.05).Conclusion The"large C-loop"technique has significant advantages in improving early postoperative anal distension and quality of life in patients with circumferential mixed hemorrhoids,mak-ing it worthy of clinical promotion and application.关键词
环状混合痔/吻合器痔上黏膜环切术/肛门坠胀/EQ-5D-5LKey words
circumferential mixed hemorrhoids/procedure for prolapse and hemorrhoids/anal distension/EQ-5D-5L分类
医药卫生引用本文复制引用
石荣,汪昭楚,陈路瑶,连羽丰,江霖臻,黄娟,陈祖清,王菁..基于"存体寡损"理论的痔上黏膜次环切术治疗环状混合痔的随机对照研究[J].结直肠肛门外科,2024,30(4):455-459,5.基金项目
福建省科技厅社会发展科技引导性项目(2021Y0035) （2021Y0035）
国家中医药管理局2022年陈民藩国医大师传承工作室建设项目(国中医药办人教函[2022]245号) （国中医药办人教函[2022]245号）
