PPH痔治疗中不同缝合技术的临床疗效分析

目的分析比较PPH手术中不同的缝合技术对痔治疗的临床疗效。方法将符合纳入标准的120例患者随机分为3组,每组40例,进行PPH手术,其中A组采用单荷包缝合法,B组采用单荷包改良缝合+对侧悬吊法,C组采用双荷包缝合法。通过观察3组患者手术时间、术中出血、环切粘膜的宽度、痔核回缩、术后应用止痛药例数、术后出血、住院时间等指标,分析临床疗效。结果手术时间比较,组间具有可比性,A、B两组优于C组(P<0.05);环切粘膜的宽度比较,B、C两组优于A组(P<0.05);痔核回缩的比较,B、C两组优于A组(P<0.05)。术中出血、术后应用止痛药例数、术后出血、住院时间对比,组间无明显差异(P>0.05)。结论单荷包改良缝合+对侧悬吊法手术时间短,同时可以增加环切粘膜的宽度、提高痔核回缩率,临床疗效满意,值得进一步推广应用。

Objective Analysis and comparison the clinical efficacy of different suture technology to PPH surgery hemorrhoid treatment.Methods The 120 patients met the inclusion criteria were randomly divided into 3 groups of 40 cases,the PPH procedure,in which A single ring suture group,B group with a single purse suture ＋ contralateral modified suspension method,C group were double-purse suture.3 groups of patients by observing the operation time,blood loss,the width of circumcision mucosa,hemorrhoids retraction,the number of cases of postoperative analgesics,postoperative bleeding,hospital stay and other indicators of clinical efficacy.Results Operation time,comparable between groups,A,B group than C group（P0.05）;the width of circumcision compared mucosa,B,C groups than A group（P0.05）;hemorrhoids retractioncomparison,B,C groups than A group（P0.05）,Blood loss,postoperative analgesic number of cases,postoperative bleeding,hospital stay contrast,no significant difference between groups（P0.05）,Conclusion Single-purse suture ＋ contralateral modified suspension method short operation time,and can increase the width of circumcision mucosa,improve hemorrhoids retraction rate,clinical results were satisfactory and worthy of further application.