国产吻合器治疗重度痔的临床研究

Clinical Trial on the Therapeutic Results of China-Made Stapler in the Treatment of Severe Hemorrhoids

为探讨国产吻合器治疗重度痔的治疗效果，将82例重度痔分为单荷包缝合组和双荷包缝合组，观察两组环切直肠黏膜的宽度，并分别将切除标本送病理检查。单荷包组术后肛周不注射长效止痛剂，双荷包组常规在肛周注射长效止痛剂。结果发现，单荷包组环切的黏膜平均宽度21mm，双荷包组环切的黏膜平均宽度33mm（P〈0．05）。单荷包组病理检查达黏膜肌层者29例，达部分肌层者3例；双荷包组达黏膜肌层者45例，达部分肌层者5例（P〉0．05）。单荷包组用强镇痛剂9例，占28％；双荷包组用强镇痛剂3例，占6％（P〈0．05）。

The therapeutic results of China-made stapler in the treatment of severe hemorrhoids were investigated in the study. Eighty two patients underwent procedure for prolapse ＆ hemorrhoids,and were divided into two groups. Patients in group Ⅰ received single purse-string suture,while patients in group Ⅱ received double purse-string sture. All the width of the resected rectal mucosa were measured and examined pathologically. Patients in group Ⅱ were submitted to postoperative perianal injection of long-term analgesic,while patients in group Ⅰ received no perianal injection of long-term analgesic. As results,the mean circularly resected rectal mucosa in group Ⅰ was 21mm in width, while that in group Ⅱ was 33mm （ P〈0.05）. In group Ⅰ,there were 29 cases whose rectal mucosa resection reached the muscular layer of mucosa,there were 3 cases whose rectal mucosa resection partially reached the muscular layer;while in group Ⅱ,there were 45 cases and 5 cases respectively（ P〉0.05）. Strong analgesic was applied in 9 cases in group Ⅰ（28%）,while in 3 cases in group Ⅱ（6%）（ P〈0. 05）.