[1]谭申权.荷包缝合深度对吻合器痔上黏膜环切钉合术疗效的影响[J].新乡医学院学报,2018,35(10):925-927.[doi:10.7683/xxyxyxb.2018.10.019]
 TAN Shen-quan.Influence of purse-string suture depth on the effect of procedure for prolapse and hemorrhoids[J].Journal of Xinxiang Medical University,2018,35(10):925-927.[doi:10.7683/xxyxyxb.2018.10.019]
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荷包缝合深度对吻合器痔上黏膜环切钉合术疗效的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年10
页码:
925-927
栏目:
临床研究
出版日期:
2018-10-05

文章信息/Info

Title:
Influence of purse-string suture depth on the effect of procedure for prolapse and hemorrhoids
作者:
谭申权
(尼木县人民医院普外科,西藏 尼木 851300)
Author(s):
TAN Shen-quan
(Department of General Surgery,the People′s Hospital of Nyêmo County,Nyêmo 851300,Tibet Autonomous Region,China)
关键词:
荷包缝合深度吻合器痔上黏膜环切钉合术并发症
Keywords:
hemorrhoidpurse-string suture depthstaplerprocedure for prolapse and hemorrhoidscomplication
分类号:
R657.1+8
DOI:
10.7683/xxyxyxb.2018.10.019
文献标志码:
A
摘要:
目的 探讨荷包缝合深度对吻合器痔上黏膜环切钉合术(PPH)疗效的影响。方法 选择2014年11月至2017年2月尼木县人民医院收治的重度痔患者228例为研究对象,所有患者进行PPH治疗,根据荷包缝合深度分为观察组和对照组,每组114例。观察组患者于齿状线上2.5~4.0 cm处进行黏膜略带浅肌层荷包缝合,对照组患者于齿状线上2.5 cm以内进行黏膜不带浅肌层荷包缝合。记录2组患者的手术时间、住院时间、创面愈合时间;术后随访3个月,对2组患者的临床疗效、术后并发症发生率及痔复发率进行比较。结果 观察组患者手术时间长于对照组(t=9.886,P<0.05),住院时间和创面愈合时间短于对照组(t=5.895、8.940,P<0.05)。观察组和对照组治疗总有效率分别为96.49%(110/114)、87.72%(100/114),观察组患者治疗总有效率高于对照组(χ2=6.032,P<0.05)。观察组和对照组患者术后并发症发生率分别为11.40%(13/114)、42.98%(49/114),观察组患者术后并发症发生率低于对照组(χ2=13.953,P<0.05)。术后3个月,观察组和对照组患者痔复发率分别为1.75%(2/114)、6.14%(7/114),观察组患者痔复发率低于对照组(χ2=11.664,P<0.05)。结论 重度痔患者行PPH时应在齿状线上2.5~4.0 cm 处进行黏膜略带浅肌层荷包缝合,可缩短创面愈合时间,促进患者恢复,降低术后并发症发生率和痔复发率,提高治疗效果。
Abstract:
Objective To investigate the influence of purse-string suture depth on the effect of procedure for prolapse and hemorrhoids(PPH).Methods A total of 228 patients with severe hemorrhoid in the People′s Hospital of Nyêmo County from November 2014 to February 2017 were selected as the subjects.All patients were treated with PPH and divided into observation group and control group according to purse-string suture depth,114 cases in each group.The purse-string suture with mucous membrane and superficial muscular layer at 2.5-4.0 cm above the dentate line was performed in the patients of the observation group,while the purse-string suture with mucous membrane within 2.5 cm above the dentate line was performed in the patients of the control group.The operation time,hospitalization time and wound healing time of the patients in the two groups were recorded.The clinical effect,postoperative complications and hemorrhoids recurrence rate of the patients were compared between the two groups after three months follow-up.Results The operation time in the observation group was longer than that in the control group(t=9.886,P<0.05),but the hospitalization time and wound healing time in the observation group were shorter than those in the control group(t=5.895,8.940;P<0.05).The total effective rate in the observation group and control group was 96.49%(110/114) and 87.72%(100/114) respectively,the total effective rate in observation group was higher than that in the control group(χ2=6.032,P<0.05).The incidence of postoperative complications in the observation group and the control group was 11.40%(13/114) and 42.98%(49/114) respectively,the incidence of postoperative complications in the observation group was lower than that in the control group(χ2=13.953,P<0.05).The recurrence rate of hemorrhoids in the observation group and the control group was 1.75%(2/114) and 6.14%(7/114) respectively at three months after operation,the recurrence rate of hemorrhoids in the observation group were lower than that in the control group(χ2=11.664,P<0.05).Conclusion The purse-string suture with mucous membrane and superficial muscular layer at 2.5-4.0 cm above the dentate line in PPH for severe hemorrhoid can shorten the wound healing time,promote the recovery of patients,reduce the postoperative complications and hemorrhoids recurrence rate,and improve the therapeutic effect.

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更新日期/Last Update: 2018-10-05