微创手术对严重痔疮患者术后并发症及疗效的影响

Effect of minimally invasive surgery on postoperative complications and curative effect of patients with severe hemorrhoids

目的研究微创手术对严重痔疮患者术后并发症及疗效的影响。方法 90例严重痔疮患者,随机分为对照组和观察组,每组45例。对照组采取常规的外切内扎手术进行治疗,观察组采取微创手术进行治疗,对两组患者的临床治疗效果、手术指标以及并发症发生情况进行对比。结果观察组患者的总有效率95.56%显著高于对照组的73.33%,手术时间和伤口愈合时间短于对照组,术中出血量少于对照组,术后并发症发生率8.89%低于对照组的35.56%,差异具有统计学意义(P<0.05)。结论临床上采取微创手术对严重痔疮患者进行治疗比传统的手术治疗效果更加显著,微创手术不会对患者造成较大的创伤,患者术后康复时间比较短,不良反应发生率也能够得到极大的降低,值得在临床上进行广泛推广与应用。

Objective To study the effect of minimally invasive surgery on postoperative complications and curative effect of patients with severe hemorrhoids. Methods 90 patients with severe hemorrhoids were randomly divided into control group and observation group, 45 cases in each group. The control group was given conventional surgical procedure of external incision and internal ligation, the observation group was given minimally invasive surgery for treatment. The clinical efficacy, operative parameters and complications between the two groups were compared. Results The total effective rate of the observation group was 95.56%, which was significantly higher than 73.33% of the control group, the operative time and wound healing time were significantly shorter than those of control group, the intraoperative bleeding loss was significantly less than that of the control group, the incidence of postoperative complications in the observation group was 8.89%, which was significantly lower than 35.56% in the control group, the differences were statistically significant（P〈0.05）. Conclusion The treatment effect of clinical use of minimally invasive surgery on patients with severe hemorrhoids is significantly better than the traditional surgical treatment, minimally invasive surgery does not cause great trauma to patients, patients in a relatively short recovery time after surgery, the incidence rate of adverse reactions also can be greatly reduced, it is worthy of promotion and application in clinical.