同期手术治疗混合痔合并低位肛瘘的临床疗效及安全性分析

Analysis of Clinical Efficacy and Safety of Simultaneous Surgical Treatment of Mixed Hemorrhoids with Anal Fistula

目的分析混合痔合并低位肛瘘患者采用同期手术治疗的临床疗效及其安全性。方法方便选取2011年11月—2015年11月在该院就诊的80例混合痔合并低位肛瘘患者按照不同的治疗方案随机划分为实验组(40例,采用肛瘘切除和混合痔上黏膜环切术同期治疗)和对照组(40例,肛瘘切除术后待肛瘘愈合择期进行混合痔上黏膜环切术),对比分析两组患者治疗效果、术中出血量、手术时间、切口愈合时间、住院时间以及术后并发症发生情况。结果实验组患者治疗总有效率97.5%显著高于对照组77.5%(P<0.05),实验组患者术中出血量、手术时间、术后切口愈合时间以及住院时间等情况均少于对照组(P<0.05),实验组患者感染、排尿困难、疼痛以及切口水肿等并发症发生率10.0%显著低于对照组25.0%(P<0.05)。结论混合痔合并低位肛瘘患者采用同期手术治疗的效果良好,有利于缩短患者住院时间,术后并发症发生率低,是一种安全、有效的治疗方案。

Objective To analysis of mixed hemorrhoid with anal fistula were treated by low clinical curative effect and safety of surgical treatment of the same period.Methods Convenient select in November 2011-November 2015 in our hospital 80 cases of mixed hemorrhoid merger low according to different treatment of anal fistula patients randomly divided into experimental group(40 cases with anal fistula resection and mixed hemorrhoid treatment mucosa fibrotomy on the same period) and the control group(40 cases,after anal fistula resection for anal fistula healing elective for mixed hemorrhoids mucosa fibrotomy),compared two groups of patients' treatment effect,intraoperative blood loss,operative time,incision healing time,length of hospital stay and postoperative complications.Results The total effective rate 97.5% treatment is significantly higher than the control group 77.5%(P<0.05),the experimental group patients intraoperative blood loss,operative time,postoperative incision healing time and hospital stay,and so on and so forth are less than the control group(P<0.05),the experimental group,dysuria,pain and edema of incision infection in patients with complications such as 10.0%lower than the control group significantly 25.0%(P<0.05).Conclusion Mixed hemorrhoid with low anal fistula were treated by surgical treatment effect is good,at the same time and shorten patients' length of hospital stay,lower incidence of postoperative complications,is a safe and effective treatment.