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中国当代医药  2020, Vol. 27 Issue (28): 121-123    
  外科医学 本期目录 | 过刊浏览 | 高级检索 |
消痔灵联合痔上黏膜环切钉合术治疗直肠黏膜内脱垂的临床效果
刘 佳 蔡明珠
厦门市第五医院肛肠外科,福建厦门 361008
Clinical effect of Xiaozhiling combined with prolapse and hemorrhoids in the treatment of rectal intramucosal prolapse
LIU Jia CAI Ming-zhu
Department of Anorectal Surgery, the Fifth Hospital of Xiamen City, Fujian Province, Xiamen 361008, China
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摘要 目的 探讨消痔灵联合痔上黏膜环切钉合术(PPH)治疗直肠黏膜内脱垂的临床效果。方法 选取2017年8月~2019年10月我院收治的80 例直肠黏膜内脱垂患者作为研究对象,按照随机数字表法分为对照组(40 例)与观察组(40 例)。对照组单纯行PPH 术,观察组在此基础上联合消痔灵治疗。比较两组的症状评分、手术时间、住院时间及术后并发症发生情况。结果 两组术前及术后第7、30 天的症状评分以及手术时间、住院时间比较,差异无统计学意义(P>0.05)。两组的肛门疼痛、肛门坠胀、排尿障碍发生率比较,差异无统计学意义(P>0.05)。观察组的术后出血发生率低于对照组,差异有统计学意义(P<0.05)。结论 相比于单用PPH,采用消痔灵联合PPH 治疗直肠黏膜内脱垂患者的术后出血少,临床应用安全性更高。
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刘佳
蔡明珠
关键词 直肠黏膜内脱垂消痔灵痔上黏膜环切钉合术术后出血    
AbstractObjective To investigate the clinical effect of Xiaozhiling combined with prolapse and hemorrhoids (PPH)in the treatment of rectal intramucosal prolapse. Methods A total of 80 patients with rectal intramucosal prolapse admitted to our hospital from August 2017 to October 2019 were selected as the research objects. According to the method of random number table, they were divided into the control group (40 cases) and the observation group (40 cases). The observation group was treated with PPH alone, the observation group was treated with Xiaozhiling on this basis. The symptom score, operation time, hospitalization time and postoperative complications of the two groups were compared. Results There were no significant differences in the preoperative and postoperative symptom score of the 1th,3th days, operation time and hospitalization time between the two groups (P>0.05). There were no significant differences in the incidence of anal pain, anal distention and dysuria between the two groups (P>0.05). The incidence rate of postoperative bleeding in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion Compared with PPH alone, Xiaozhiling combined with PPH has less postoperative bleeding and higher safety in clinical application.
Key wordsRectal intramucosal prolapse    Xiaozhiling    Prolapse and hemorrhoids    Postoperative hemorrhage
    
作者简介: 刘佳(1980-),男,本科,副主任医师,研究方向:肛肠外科
引用本文:   
刘佳; 蔡明珠. 消痔灵联合痔上黏膜环切钉合术治疗直肠黏膜内脱垂的临床效果[J]. 中国当代医药, 2020, 27(28): 121-123.
LIU Jia; CAI Ming-zhu. Clinical effect of Xiaozhiling combined with prolapse and hemorrhoids in the treatment of rectal intramucosal prolapse. 中国当代医药, 2020, 27(28): 121-123.
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