自动痔疮套扎术治疗轻中度痔疮的临床应用价值探究

Clinical application value of ruiyun procedure for hemorrhoid in the treatment of mild to moderate hemorrhoids

目的分析利用自动痔疮套扎术(ruiyun procedure for hemorrhoid,RPH)治疗轻中度痔疮的治疗中的价值。方法选取2019年1月至2022年3月苏州大学附属张家港医院收治的96例轻中度痔疮患者为研究对象,对其临床资料进行回顾性分析,其中对照组(n=46)患者采取传统手术治疗,观察组(n=50)患者实施RPH治疗,对比两组患者手术指标、术后并发症情况、治疗效果、生活质量以及症状积分。结果观察组患者术后疼痛评分低于对照组,术中出血量少于对照组,愈合时间及手术时间均短于对照组,差异均有显著性(P<0.05)。观察组患者并发症发生率为6.00%,显著低于对照组的23.91%(P<0.05)。观察组患者治疗总有效率为96.00%,明显高于对照组的78.26%(P<0.05)。观察组患者治疗后生活质量各项评分均高于对照组,且干预后症状积分均低于对照组,差异均有显著性(P<0.05)。结论RPH治疗轻中度痔疮患者疗效显著,且并发症较少。

Objective To analyze the value of ruiyun procedure for hemorrhoid(RPH)in the treatment of mild to moderate hemorrhoids.Method 96 patients with mild to moderate hemorrhoids treated in Zhangjiagang Hospital Affiliated to Suzhou University from January 2019 to March 2022 were selected as the research objects.The clinical data were retrospectively analyzed.The patients in the control group(n=46)were treated with traditional surgery,and the patients in the observation group(n=50)were treated with RPH.The surgical indicators,postoperative complications,treatment effects,quality of life and symptom scores of the two groups were compared.Result The postoperative pain score of the observation group was lower than that of the control group,the amount of intraoperative bleeding was less than that of the control group,and the healing time and operation time were shorter than those of the control group(P<0.05).The incidence of complications in the observation group was 6.00%,significantly lower than 23.91%in the control group(P<0.05).The total effective rate in the observation group was 96.00%,which was significantly higher than 78.26%in the control group(P<0.05).The scores of quality of life in the observation group were higher than those in the control group after treatment,and the symptom scores after intervention were lower than those in the control group(P<0.05).Conclusion RPH is effective in the treatment of mild to moderate hemorrhoids with less complications.