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超声刀弧形缝切术治疗重度环状混合痔34例疗效观察

Ultrasonic Scalpel Plus Arc Suture and Incision for Severe Mixed Circumferential Hemorrhoids:Clinical Observation of 34 Cases

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【作者】 吴跃锐龚建安田相谢尚奎

【Author】 WU Yue-rui;GONG Jian-an;TIAN Xiang;XIE Shang-kui;The Third Department of Surgery,Guizhou Hospital of Shunde District of Foshan City;Department of Colorectal Surgery,No.6 Hospital Affiliated to Zhongshan University;

【机构】 广东省佛山市顺德区桂洲医院外三科中山大学附属第六医院结直肠肛门外科

【摘要】 为观察超声刀弧形缝切术治疗重度环状混合痔的疗效,将68例重度环状混合痔患者随机分为两组,每组34例。试验组采用超声刀混合痔切除术加弧形缝切术治疗,对照组采用传统混合痔外剥内扎术治疗,比较两组患者术后疗效。结果显示,试验组在术中出血量、术后肛门疼痛、肛缘水肿、创面愈合时间及术后肛门狭窄方面明显优于对照组(P<0.01,P<0.05)。结果 表明,与传统外剥内扎术比较,超声刀混合痔切除术加弧形缝切术治疗重度环状混合痔具有术中出血少、术后疼痛轻、创口愈合快、术后并发症和不良反应少等优点。

【Abstract】 To observe the clinical efficacy of ultrasonic scalpel plus arc suture and incision for severe mixed circumferential hemorrhoids,68 cases were randomly divided into two groups,34 cases for each group.Trial group received ultrasonic scalpel resection for mixed hemorrhoids plus arc suture and incision,while the controls received conventional external dissection and internal ligation.Both groups were compared for clinical efficacy.The results showed that trial group was superior to control group in bleeding volume,postoperative pain,anal edema,wound healing time and anal stenosis(P <0.01,P <0.05).It is concluded that compared with conventional external dissection and internal ligation,ultrasonic scalpel resection for mixed hemorrhoids plus arc suture and incision for severe mixed circumferential hemorrhoids is of less intraoperative bleeding,light postoperative pain,rapid wound recovery,less complications and adverse reactions.

【关键词】 超声刀弧形缝切术
【Key words】 HemorrhoidUltrasonic scalpelArc suture and incision
  • 【文献出处】 中国肛肠病杂志 ,Chinese Journal of Coloproctology , 编辑部邮箱 ,2015年05期
  • 【分类号】R657.18
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