微创痔疮手术治疗痔疮患者的临床有效性分析

Analysis of Clinical Effectiveness of Minimally Invasive Hemorrhoids Surgery for Hemorrhoids

目的探讨对痔疮患者采用微创痔疮手术方法治疗后获得的临床效果。方法方便选取该院2016年7月-2019年5月收治的74例痔疮患者,按数字奇偶法分组;治疗组(37例):采用微创痔疮手术方式展开痔疮治疗;对照组(37例):采用传统手术方式展开痔疮治疗;就组间痔疮手术总有效率,手术失血量,手术、伤口愈合时长以及手术不良反应数据展开对比。结果治疗组显效患者25例(67.57%),好转患者11例(29.73%),无效患者1例(2.70%),总有效患者36例(97.30%);对照组显效患者19例(51.35%),好转患者9例(24.32%),无效患者9例(24.32%),总有效患者28例(75.68%);治疗组痔疮患者手术总有效率(97.30%)高于对照组(75.68%),差异有统计学意义(χ^2=7.400,P<0.05);治疗组手术失血量为(15.72±3.77)mL;手术时长为(16.57±1.66)min;伤口愈合时长为(2.86±0.73)d;对照组分别为(49.43±12.77)mL、(39.95±2.55)min以及(8.53±2.25)d;治疗组痔疮患者手术失血量少于对照组,手术、伤口愈合时长短于对照组,差异有统计学意义(t=15.400,46.740,14.580,P<0.05);治疗组出血患者1例(2.70%),感染患者0例(0.00%),便嵌塞患者1例(2.70%),尿潴留患者1例(2.70%),总计患者3例(8.11%);对照组出血患者3例(8.11%),感染患者4例(10.81%),便嵌塞患者3例(8.11%),尿潴留患者5例(13.51%),总计患者15例(40.54%);治疗组痔疮患者手术不良反应数据(8.11%)低于对照组(40.54%),差异有统计学意义(χ^2=10.571,P<0.05)。结论微创痔疮手术方式的有效运用,可使得痔疮患者获得可靠、安全疗效,并且失血量可获得减少,手术、伤口愈合时长同时获得有效缩短,可实现痔疮患者有效预后转归。

Objective To investigate the clinical effect of minimally invasive hemorrhoid surgery on hemorrhoids.Methods Convenient selection of 74 hemorrhoids patients admitted to our hospital from July 2016 to May 2019 were grouped by digital parity method.Treatment group(37 cases):minimally invasive hemorrhoid surgery for hemorrhoid treatment;control group(37 cases):hemorrhoids were treated by traditional surgery.The total effective data of hemorrhoids operation,operation blood loss,operation,wound healing time and adverse reactions were compared.Results In the treatment group,there were 25 patients(67.57%)with obvious effect,11 patients(29.73%)with improvement,1 patient(2.70%)with no effect,and 36 patients(97.30%)with total effect.In the control group,there were 19 patients(51.35%)with obvious effect,9 patients(24.32%)with improvement,9 patients(24.32%)with no effect,and 28 patients(75.68%)with total effect.The total effective rate of hemorrhoids in the treatment group(97.30%)was significantly higher than that in the control group(75.68%),the difference was statistically significant(χ^2=7.400,P<0.05).The blood loss in the treatment group was(15.72±3.77)m L.The operation time was(16.57±1.66)min.The duration of wound healing was(2.86±0.73)d.The control group was(49.43±12.77)mL,(39.95±2.55)min and(8.53±2.25)d,respectively.The hemorrhoids patients in the treatment group had less operation blood loss than the control group,and the length of operation and wound healing was significantly longer than the control group,the difference was statistically significant(t=15.400,46.740,14.580,P<0.05).In the treatment group,there were 1 patient with bleeding(2.70%),0 patients with infection(0.00%),1 patient with fecal impaction(2.70%),and 1 patient with urinary retention(2.70%),totaling 3 patients(8.11%).In the control group,there were 3 patients with bleeding(8.11%),4 patients with infection(10.81%),3 patients with fecal occlusion(8.11%),and 5 patients with urinary retention(13.51%),totaling 15 patients(40.54%).The adverse reaction data of hemorrhoids patients in the treatment group(8.11%)was significantly lower than that in the control group(40.54%),the difference was statistically significant(χ^2=10.571,P<0.05).Conclusion Effective application of minimally invasive hemorrhoid surgery can make hemorrhoid patients obtain reliable and safe curative effect,reduce blood loss,shorten operation and wound healing time,and achieve effective prognosis of hemorrhoid patients.