吻合器痔上黏膜环行切除钉合术用于治疗老年混合痔患者的可行性研究

Circular resection and nailing of upper hemorrhoids with stapler for elderly patients with mixed hemorrhoidsFeasibility study in treatment

目的研究与探讨吻合器痔上黏膜环行切除钉合术用于老年混合痔患者治疗中的可行性,为临床应用提供参考依据。方法选取2010年6月至2018年1月该院普通外科收治的老年混合痔患者162例作为研究对象,采用随机数字表方法分研究组和对照组,每组81例。对照组应用外剥内扎手术予以治疗,观察组运用吻合器痔上黏膜环行切除钉合术予以治疗。对比两组患者的疗效。结果研究组患者治愈率明显高于对照组,各项并发症发生率均明显低于对照组,差异均有统计学意义(P<0.05);研究组患者有效率虽高于对照组,但差异无统计学意义(P>0.05)。结论吻合器痔上黏膜环行切除钉合术用于老年混合痔患者中手术时间短、术后恢复快,疗效显著,且降低了并发症发生率,有着较强的可行性。

Objective To study and explore the feasibility of stapler hemorrhoidectomy and nailing in the treatment of elderly patients with mixed hemorrhoids,and to provide reference for clinical application.Methods From June 2010 to January 2018,162 elderly patients with mixed hemorrhoids were selected from the General surgery Department of Ledong County people′s Hospital of Hainan Province.According to the method of random digital table,they were divided into study group and control group with 81 patients in each group.The control group was treated with external stripping and internal ligature,while the observation group was treated with stapler hemorrhoids circumferential resection and nailing,and the therapeutic effects of the two groups were compared.Results The cure rate of the study group was 70.37%,which was significantly higher than that of the control group50.62%(P<0.05),and the effective rate of the study group was 100%,which was higher than that of the control group(95.06%),but there was no significant difference(P>0.05).The incidence of complications in the control group was significantly higher than that in the study group(P<0.05).The incidence of complications in the control group was significantly higher than that in the study group(P<0.05).Conclusion In elderly patients with mixed hemorrhoids,the operation time is short,the postoperative recovery is fast,the curative effect is remarkable,and the incidence of complications is reduced,so it is feasible to apply stapler hemorrhoidectomy and nailing to the elderly patients with mixed hemorrhoids.