亚甲蓝在吻合器痔上黏膜环切术中的应用

Methylthioniniun chloride in procedure for prolase and hemorrhoids

目的 观察亚甲蓝对吻合器痔上黏膜环切术(PPH)后常见并发症的临床价值.方法 选择100例行PPH的患者,随机分为试验组和对照组,分别在术中应用和不应用亚甲蓝治疗,观察比较术后早期并发症包括肛门坠胀感、肛门疼痛、尿潴留等的发生率.结果 试验组和对照组相比,术后疼痛和肛门坠胀感的发生率显著降低(P<0.05),而尿潴留等并发症比较差异无统计学意义(P>0.05).结论 PPH术中亚甲蓝的应用可有效减少肛门部疼痛、肛门坠胀并发症,提示在临床诊疗中应推广亚甲蓝应用,以利于减少患者痛苦.

Objective To observe the clinical value of methylthioniniun chloride on common cornplications of procedure for prolase and hemorrhoids.Methods One hundred patients underwent procedure for prolase and hemorrhoids were divided into experimental group and control group. During the PPH, methylthioniniun chloride was used or not used in different groups. The incidence of the complications of PPH such as sense of anal bulge, anal pain, and urinary retention were observed in the two groups. Results Compared with control group, the incidence of sense of anal bulge and anal pain were significantly decreased, but for the urinary retention complication, there was no significant difference between the two groups.Conclusions The use of methylthioniniun chloride in procedure for prolase and hemorrhoids may decrease the complications of PPH and alleviate the suffering of the patients.