摘要
目的 观察应用痔上黏膜环切术(PPH)治疗痔的临床效果.方法 Ⅱ、Ⅲ、Ⅳ度痔患者78例,均接受PPH治疗,记录诊断、病史、手术时间、出血量及围手术期并发症.手术前和手术后6h、24h、1个月采用世界卫生组织生活质量量表(WHOQOL-BREF)对患者进行评分.结果 术后疼痛视觉模拟评分(VAS)在6h评分为(7.6±2.1)分,术后24 h VAS评分减少至(1.3±1.1)分.术后并发症发生率较传统手术低(t=1.994,P=0.032);术后生活质量总体评分、健康总体评分、身体状况和心理状况评分均显著改善(t=1.901、1.805、1.714,P=0.041、0.038、0.029,均P<0.05),环境评分有轻度改善,但差异无统计学意义(P>0.05),社会生活评分没有变化.结论 PPH手术取得良好的临床效果,并发症发生率低,患者生活质量得到提高,对于痔患者应作为推荐的首选手术方式.
Objective To observe the clinical effect of procedure for prolapse and hemorrhoids (PPH) in treating hemorrhoids.Methods 78 patients with symptomatic Ⅱ,Ⅲ and Ⅳ degree hemorrhoids undergoing PPH were selected in this study.The diagnosis,medical history,operative time,blood loss and perioperative complications were recorded.The World Health Organization Quality of Life Scale(WHOQOL-BREF) was observed preoperation and 6 hours,24 hours,1 month postoperation.Results The postoperative pain score measured by visual analogue scale (VAS) at postoperative six hours was (7.6 ± 2.1),which reduced to (1.3 ± 1.1) at 24 hours.There was significant improvement in the overall perception of QOL,health,and in physical and psychological domains (t =1.901,1.805,1.714,P =0.041,0.038,0.029,all P < 0.05).There was modest improvement in environmental domain,while no change was found in social domain (P > 0.05).Conclusion PPH surgery achieves good clinical results,improved quality of life of patients,with a low incidence of complications,patients with hemorrhoids should be recommended for this preferred surgical approach.
出处
《中国基层医药》
CAS
2014年第11期1601-1603,I0001,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
内蒙古自治区自然科学基金项目(2013MS1151)
关键词
痔
痔上黏膜环切吻合器
Hemorrhoids
Procedure for prolapse and hemorrhoids