肛垫上黏膜套扎术治疗痔脱垂的临床观察

Clinical Observation on Mucosa Ligation above Anal Cushion in Treating Prolapsed Hemorrhoid

目的:观察肛垫上黏膜套扎术治疗Ⅱ～Ⅲ期内痔的临床疗效。方法:将100例患者随机分为治疗组和对照组各50例,治疗组采用肛垫上黏膜套扎术,对照组采用传统痔核基底套扎术。观察并记录两组患者术后的痔核脱垂情况及小便困难、伤口出血、伤口疼痛、创缘水肿等并发症的情况,同时比较两组术后住院时间及住院费用,并评估其结果。结果:治疗组患者的术后住院时间较对照组明显缩短(P<0.05),住院费用较对照组明显减少(P<0.05)。术后两组患者的脱垂症状均消失;治疗组术后无排尿困难者,对照组术后有6例患者出现排尿困难,两组比较差异具有统计学意义(P<0.05);术后第3天、第5天治疗组患者的伤口出血、伤口疼痛、创缘水肿情况均明显好于对照组(P<0.05,P<0.01)。结论:肛垫上黏膜套扎术能明显改善Ⅱ～Ⅲ期内痔患者的脱垂症状,减轻术后并发症,缩短住院时间,降低住院费用。

Objective ： To observe the clinical effects of mucosa ligation above anal cushion in treating internal hemorrhoids at Ⅱ-Ⅲ stages. Methods： A total of 100 patients with internal hemorrhoids at Ⅱ-Ⅲ stages were randomly divided into two groups： the treatment group in which 50 patients were treated with the mucosa ligation above anal cushion, and the control group in which 50 patients were treated with the conventional ligation. The postoperative improvements of hemorrhoid prolapse, dysuria, wound bleeding, wound pain and edema of wound margin were observed. Meanwhile, the hospitalization time and hospitalization cost were compared. Results： The hospitalization time and cost of treatment group were obviously reduced compared with control group （ P 〈 0.05 ）. After operation, the prolapse symptom disappeared in both groups ; there was no patient with dysuria in the treatment group and six patients with dysuria in the control group, with statistical difference between two groups （ P 〈 0.05 ） ; the wound bleeding, wound pain and edema of wound margin of patients in treatment group were better than control group on the 3rd and 5th days after operation （P 〈0.05, P 〈0.01 ）. Conclusion： The mucosa ligation above anal cushion can significantly improve the prolapse symptom of patients with internal hemorrhoids at Ⅱ-Ⅲ stages, reduce the postoperative complications, shorten the hospitalization time, and decrease the hospitalization cost.