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时间:2020-04-27
《RPH联合外痔切除术治疗混合痔的疗效探讨-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、2OChinJColoproctol2014,Vol34,No8RPH联合外痔切除术治疗混合痔的疗效探讨罗志渊龚建明范建明徐琴顾俊须海丰江苏省太仓市中医医院肛肠科(江苏太仓215400)摘要为探讨自动痔疮套扎术(RPH)联合外痔切除术治疗混合痔的临床疗效,回顾分析85例混合痔手术患者资料,其中采用RPH联合外痔切除术治疗52例(观察组),采用PPH联合外痔切除术治疗33例(对照组)。对比两组患者的疗效。结果显示,两组患者总体疗效、患者满意度、住院时间比较差异均无统计学意义,P>O.05;但观察组在术后首次排便时疼痛、
2、肛门坠胀感、尿潴留、短暂性肛门失禁、住院费用方面明显优于对照组,Pd0.05或Pd0.01。结果表明,RPH联合外痔切除术治疗混合痔疗效可靠、经济安全、患者恢复快,术后无肛门狭窄、肛门失禁等并发症。关键词混合痔;自动痔疮套扎术;吻合器痔上黏膜环切术;外痔切除术;疗效DiscussionontheCurativeEffectofRPHCombinedwithResectionforExternalHemorrhoidsintheTreatmentofMixedHemorrhoidsLUOZhi—yuan,GONGJia
3、n—ruing,FANJian一ing,XUQ,GUJun,XL,HaingDept.ofColoproctology,theTCMHospitalofTaicangMunicipality,Taicang,Jiangsu215400AbstractInordertoexploretheclinicaleffectOfRuiyunprocedureforhemorrhoids(RPH)cornbinedwithresectionforexternalhemorrhoidsinthetreatmentofmixedhe
4、morrhoids,authorsretrospectivelyanalyzedthedataof85patientswithmixedhemorrhoidsamongwhom52caseshadreceivedthiscombinationprocedure(asobservationgroup)。rest33hadreceivedPPHplusexternalhemorrhoidsresection(ascontrolgroup);thencomparedthecurativeeffectsbetweenboth
5、groups.Asresults,inthewholeeffect,patientSsatisfactorydegree,hospitalizationtimetherewasnostatisticaldifferencebetweenbothgroups(P>O.05);but,inpostoperativefirstdefecationpain,tenesmusofanus,uroschesis,temporalanalincontinenceandhospitalizationcostobservationgr
6、oupwasallsignficantlysuperiortocontrolgroup(Pd0.05orP<0.01).ResultsshowthahtRPHcombinedwithresectionofexterna1hemorrhoidsinthetreatmentofmixedhemorrhoidshasreliableeffect,andiseconomicandsafe,offasterrecoveryofpatients,andwithoutpostop—erativeanalstenosisandinc
7、ontinence,etccomplication.KeyWordsMixedHemorrhoid;RPH;PPH;Resectionofexternalhemorrhoids;Therapeuticeffect混合痔的治疗方法以手术为主,手术方法很多,委员会、中国中西医结合学会结直肠肛门病专业委均可取得一定疗效,但也有各自的不足。近年来,我员会制定的《痔临床诊治指南(2006版)》中相关科采用自动痔疮套扎术(Ruiyunprocedurefor诊断标准,均排除高血压未得到有效控制者、凝血功hemorrhoids,R
8、PH)联合外痔切除术治疗混合痔,能障碍者、孕妇、晚期肝硬化及合并肛肠其他疾病取得满意疗效。本研究对比RPH联合外痔切除术者。观察组男21例,女31例;年龄27~62岁,平均与PPH联合外痔切除术治疗混合痔的疗效,总结(43.7±9.1)岁。对照组男17例,女16例;年龄25报道如下。~68岁,平均(45.6±11.2)岁。两组患者一般资料1资料
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