RPH联合手术治疗痔疮的临床疗效与并发症分析

Clinical efficacy and complications of RPH combined with surgery in the treatment of hemorrhoids RPH

目的探讨自动痔疮套扎术(RPH)联合手术治疗痔疮的临床疗效及并发症的发生情况。方法选择2008-02～2010-01痔疮患者100例作为研究对象,随机分为治疗组和对照组各50例。治疗组采用RPH联合手术治疗,对照组仅采用RPH治疗,观察比较两组的临床症状改善及并发症情况。结果治疗组的有效率高于对照组(P<0.05)。治疗组的手术时间、疼痛指数、创面愈合时间、橡皮圈脱落时间与对照组比较,差异无统计学意义(P>0.05)。治疗组术后发生尿潴留1例,症状轻,经局部热敷等诱导排尿均很快缓解;手术时基本无出血;痛苦轻微,主要为肛区坠胀感;肛门轻度水肿2例,无一例出现继发性大出血、感染、肛管狭窄等并发症。对照组的术后并发症发生率显著高于治疗组(P<0.01)。结论 RPH联合手术治疗痔疮具有疗效佳、操作简单、患者痛苦轻微、几乎无并发症的特点,值得临床推广。

Objective To investigate the clinical effect and the incidence of complications of the RPH combined with srugery in the treatment of hemorrhoids. Methods In our hospital from February 2008 to January 2010, 100 patients with hemorrhoids were randomly divided into treatment group and control group （50 patients in each group） ,the treatment group received RPH and surgical treatment, the control group received only RPH, the clinical symptoms and complications in two groups were observed and compared. Results The effective rate of the treatment group was higher than that of the control group, by statistical analysis, the difference was significant （ P 〈 0. 05 ）. There was no statistically significant difference in the operation time, pain index, wound healing time, shedding time of rubber band between two groups （P 〉 0. 05 ）. In treatment group, postoperative urinary retention with mild symptoms was found in 1 ease, whose urination became normal quickly after induction of the local hot; almost no bleeding during surgery was found;patients suffered less pain with mainly heavy feeling in the anal area;ann] mild edema in 2 cases, no case had complications such as secondary haemorrhage, infection, anal stenosis. The incidences of postoperative complications in control group were significantly higher than those in the treatment group, the difference was significant （P 〈 0. 01 ）. Conclusion The treatment of hemorrhoids by RPH combined with surgery has advantages of excellent efficacy, simple operation,less pain, almost no complications, is worthy of promotion.