痔疮自动套扎术联合外痔切除缝合术对环状脱垂性混合痔患者创面愈合时间及并发症的影响

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Abstract Objective To investigate the effect of automatic ligation of hemorrhoids (RPH) combined with external hemorrhoid excision and suture on wound healing time and complications in patients with annular prolapse mixed hemorrhoids.Methods A total of 64 patients with annular prolapse mixed hemorrhoids admitted to the Department of Anorectal in Lianjiang People′s Hospital from April 2018 to April 2020 were selected as the research subjects for retrospective analysis,and the patients were divided into the reference group (n=32) and the research group (n=32) according to different treatment methods.The control group was treated with traditional internal ligation and external stripping,while the research group was treated with RPH combined with external hemorrhoid excision and suture.The total effective rate,wound healing time,hospitalization time,first defecation pain score,anal function and the total incidence of complications were observed and compared between the two groups.Results The total effective rate of the study group was higher than that of the reference group,and the difference was statistically significant (P＜0.05).The total incidence of complications in the study group was lower than that in the reference group,and the difference was statistically significant (P＜0.05).The wound healing time and hospitalization time of the study group were shorter than those of the control group,and the score of first defecation pain was lower than that of the control group,the differences were statistically significant (P＜0.05).After treatment,the resting pressure and diastolic pressure of anal canal in the study group were higher than those in the reference group,and the differences were statistically significant (P＜0.05).Conclusion RPH combined with external hemorrhoids resection and suture is effective in the treatment of annular prolapse mixed hemorrhoids.It can not only shorten the wound healing time and hospitalization time,but also relieve the pain of the first defecation,promote the recovery of anal function,and reduce the incidence of complications.

Key words： External hemorrhoid excision and suture Automatic ligation of hemorrhoids Annular prolapse mixed hemorrhoids Wound healing time

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	RUAN Yong-jun
	LANG Jin-yuan
	LIU Ru-feng

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RUAN Yong-jun,LANG Jin-yuan,LIU Ru-feng. Effect of automatic ligation of hemorrhoids combined with external hemorrhoid excision and suture on wound healing time and complications in patients with annular prolapse mixed hemorrhoids[J]. 中国当代医药, 2021, 28(5): 78-81.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I5/78

[1]	宋扬，徐天舒，钱海华.电针大肠俞、承山、二白穴对混合痔术后并发症的疗效观察[J].针刺研究，2017，42（6）：533-536.
[2]	杨丽丽，张磊，张溪.自动弹力线套扎术联合外痔切除缝合术治疗环状脱垂性混合痔临床研究[J].陕西医学杂志，2018，47（2）：177-179，195.
[3]	潘沈玉.TST 联合外痔切除缝合术治疗重度混合痔的临床效果观察[J].中国民康医学，2018，30（14）：42-43，57.
[4]	中华医学会外科学分会结直肠肛门外科学组，中华中医药学会肛肠病专业委员会，中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南（2006版）[J].中华胃肠外科杂志，2006，9（5）：461-463.
[5]	赵文俊，汪庆明，胡峻，等.痔上黏膜缝扎结合内扎外剥术治疗环状重度脱垂性混合痔的临床观察[J].上海中医药大学学报，2020，34（2）：37-40.
[6]	王华胜，邓业巍，李晓洁，等.自动痔疮套扎术治疗混合痔术后发生医院感染的病原菌特点与危险因素分析[J].中华医院感染学杂志，2017，27（2）：389-392.
[7]	闻永，李俊，龙庆，等.电针联合穴位埋线用于混合痔术后疼痛研究[J].中国针灸，2017，37（3）：243-246.
[8]	陈莹璐，钟传篪，徐月，等.龙血竭胶囊合九华膏对环状混合痔术后创面促愈作用及对新生血管形成的影响[J].中国实验方剂学杂志，2017，23（8）：178-183.
[9]	丁超，王琛.混合痔手术治疗的研究进展[J].中国当代医药，2017，24（14）：12-14.
[10]	戴春红，朱宝山，胡宇，等.痔核剥离、溃疡面切除联合内括约肌侧方切断术治疗Ⅲ期混合痔伴肛裂的疗效分析[J].中国普通外科杂志，2017，26（4）：537-540.
[11]	胡杰，俞莹，傅江.中重度混合痔患者70例痔疮自动套扎术（RPH）手术治疗的疗效及预后分析[J].浙江创伤外科，2018，23（3）：502-503.
[12]	黄国锋，邱光明，周明珠.PPH 联合外痔剥切术和传统分段外剥内扎术治疗重度环状混合痔的效果对比[J].中国当代医药，2017，24（3）：54-57.
[13]	周剑，耿岩，何海荣.超声刀联合混合痔外剥内扎术对Ⅲ期和Ⅳ期混合痔患者的疗效[J].中国当代医药，2017，24（11）：28-30.
[14]	万月明，陈应驹，李小艳，等.自动痔疮套扎术结合剪口结扎术治疗混合痔的效果[J].中国当代医药，2018，25（23）：67-69.
[15]	谢闻文，李德亮.吻合器痔上黏膜环切钉合术加外痔切除术治疗Ⅲ、Ⅳ度混合痔的效果[J].中国医药科学，2019，9（12）：192-194，231.
[16]	黄国锋，邱光明，周明珠.选择性痔上黏膜切除钉合术和痔上黏膜环切钉合术治疗环状混合痔的优劣差异[J].中国医药科学，2018，8（2）：199-201，246.