高悬低切缝合术治疗混合痔40例疗效观察

Clinical Efficacy of High Hanging and Low Incision Surgery in Treatment of 40 Cases of Mixed Hemorrhoids

目的:观察高悬低切缝合术治疗混合痔的临床疗效。方法:选取2022年12月至2023年11月,本院手术治疗的80例混合痔患者,随机分为治疗组和对照组,每组各40例。治疗组采用高悬低切缝合术治疗,对照组采用传统外剥内扎术治疗。比较2组临床疗效、创面愈合时间、水肿、疼痛、出血及肛门坠胀情况。结果:2组临床疗效比较,差异无统计学意义(P>0.05),但治疗组创面愈合时间短于对照组(P<0.05),术后水肿例数少于对照组(P<0.05),术后1d、3d和7d的疼痛、出血及肛门坠胀评分均优于对照组(P<0.05)。结论:高悬低切缝合术治疗混合痔能有效缩短创面愈合时间,减少术后疼痛、出血、肛门坠胀及水肿等并发症的发生,提高患者术后生活质量,具有良好的临床应用价值。

Objective To observe the clinical efficacy of high hanging and low incision surgery in the treatment of mixed hemorrhoids.Methods From December 2022 to November 2023,total 80 patients with mixed hemorrhoids treated by surgery in our hospital were randomly divided into treatment group and control group,with 40 cases in each group.The treatment group was treated with high hanging and low in-cision surgery,while the control group was treated with Milligan-Morgan hemorrhoidectomy.The clinical efficacy,wound healing time,edema,pain,bleeding and anal distention were compared between the two groups.Results There was no significant difference in clinical efficacy between the two groups(P>0.05).But the wound healing time of the treatment group was shorter than that of the control group(P<0.05).The number of postoperative edema cases of the treatment group was less than that of the control group(P<0.05),and the scores of pain,bleeding and anal distension on the 1st,3rd and 7th day after operation were better than those of the control group(P<0.05).Conclusion The treatment of mixed hemorrhoids with high hanging and low incision surgery can effectively shorten the wound healing time,re-duce postoperative pain,bleeding,anal distension and edema,and improve the postoperative quality of life of patients,which has good clinical application value.