痔术后肛缘水肿的原因及预防

Clinical analysis of postoperative perianal edema in patients with hemorrhoids

目的探讨痔术后肛缘水肿的机制和防治措施。方法回顾性分析2005年9月至2007年9月期间1245例痔手术患者的临床资料。结果62例痔术后出现不同程度肛缘水肿,占5.0%,24例经保守治疗水肿缓解或消退。38例行手术切除,占3.1%。结论痔术后肛缘水肿发生的原因极其复杂,局部解剖学因素是其根本原因。做好术前各项准备,术中操作仔细、轻柔,术后加强护理、积极处理其他并发症是预防肛缘水肿的关键。

Objective To investigate the mechanism, preventive measures and treatment of postoperative perianal edema in patients with hemorrhoids, Methods A retrospective study was made in 1245 patients with hemorrhoids undergone operation during September, 2005 to September, 2007. Results Among 62 （4.9 % ） patients with perianal edema after operation, 24 patients with perianal edema were remitted or cured by eonservalive treatment and 38 （3 % ） cases need reoperation. Conclusion It is concluded that the pathogenesis of postoperative perianal edema is complicated, and anatomical factors may be the main cause, Preoperative preparation, perioperative care, postoperative nursing and dealing with other complications in time are key points for prevention of perianal edema after operation.