双吻合器痔上黏膜环切术对直肠黏膜脱垂的疗效及并发症分析

Analysis of therapeutic effect and complications of resection of rectal mucosa prolapse using double stapling hemorrhoid on the mucosal ring

目的:探讨利用双吻合器痔上黏膜环切术(PPH)治疗直肠黏膜脱垂的临床效果及安全性。方法 :将60例直肠黏膜脱垂患者采用随机数字表法分为研究组和对照组各30例,研究组采用双吻合器痔上黏膜环切术治疗,对照组采用直肠黏膜柱状结扎术治疗,对比两组患者的围手术期情况及术后并发症的发生情况。结果:研究组患者的手术时间(38.9±7.2)min、住院时间(4.4±0.6)d,均显著短于对照组(P<0.05)。研究组患者手术后第1、2、3天的疼痛VAS评分均显著低于对照组(P<0.05)。研究组患者的手术并发症率(6.67%)与对照组(23.33%)差异无统计学意义(P>0.05)。研究组患者术后自然排便率(80.0%)与对照组(60.0%)差异无统计学意义(P>0.05)。结论:双吻合器痔上黏膜环切术治疗直肠黏膜脱垂主要具有手术时间短、住院时间短、降低术后患者疼痛程度的优势,同时具有可靠的临床治疗效果。

Objective： To explore the use of double stapling resection of PPH （PPH） clinical efficacy and safety of treatment of rectal mucosa prolapse. Methods： Anorectal diseases in the hospital between 2010 and 2015 were treated 60 cases of rectal mucosa prolapse patients, using random number table were divided into study group and control group with 30 cases in each. Group study using double anastomat hemorrhoidal mucosa circumcision treatment, patients in control group were treated with rectal columnar mucosa ligation treatment, compared two groups of patients withWai operative and postoperative complications. Results： The operation time of the study group was （38.9 ± 7.2）min, the length of hospital stay was 44.4 ± 0.6）d were significantly shorter than the control group （P〈0.05）. In the study group, first, 2, and 3D VAS score were significantly lower than the control group and the difference was statistically significant 4P〈0.05）. There was no significant difference in the incidence of postoperative complications （23.33%） between the study group and the control group（P〉0.05）. After the study group of patients with natural defecation rate （80%）, the control group after the natural defecation rate （60%）, the two groups of patients with postoperative defecation was not statistically significant（P〉0.05）. Conclusion： Double stapler hemorrhoid mu- cosal ring cutting operation in the treatment of rectal mucosal prolapse with operation time short, shorter hospitalization time, reduce postoperative pain degree of patients with the advantages, but also has reliable therapeutic effect.