PPH联合肛瘘切除术治疗混合痔伴低位肛瘘的临床效果分析

PPH Combined with Anal Fistula Resection in the Treatment of Mixed Hemorrhoids Complicated with Low Anal Fistula:Clinical Effect Analysis

为探讨吻合器痔上黏膜环切术(PPH)联合肛瘘切除术治疗混合痔伴低位肛瘘的临床疗效,选择2018年3月至2019年3月我院收治的100例混合痔伴低位肛瘘患者作为研究对象,随机分为观察组和对照组,各50例,观察组予PPH联合肛瘘切除术治疗,对照组予混合痔外剥内扎术联合肛瘘切除术治疗,比较2组治疗效果,术后疼痛、水肿、出血程度,以及创面愈合时间。结果显示,2组患者均治愈。观察组术后疼痛、水肿、出血程度评分均明显低于对照组,P<0.05;而且观察组创面愈合时间明显短于对照组,P<0.05。结果表明,与混合痔外剥内扎术联合肛瘘切除术相比,PPH联合肛瘘切除术治疗混合痔伴低位肛瘘患者术后疼痛、水肿、出血程度更轻,创面愈合更快。

To investigate the clinical effect of PPH combined with anal fistula resection(AFR)in the treatment of mixed hemorrhoids(MH)complicated with low anal fistula(LAF),enrolled 100 patients with MH plus LAF treated in author’s hospital from March 2018 to March 2019,and randomly divided them into observation group(n=50,treated with PPH combined with AFR)and control group(n=50,treated with external dissection&internal ligation combined with AFR),then the treatment effect,postoperative pain,edema,bleeding degree and wound healing time were compared between the two groups.As results,both groups were cured.In the scores of postoperative pain,edema and bleeding degree observation group was significantly lower than control group(P<0.05),and in the wound healing time observation group was significantly shorter than control group(P<0.05).Results show that compared with MH external dissection&internal ligation combined with AFR,PPH combined with AFR is used to treat patients with less postoperative pain,edema,bleeding,and faster wound healing.