吻合器痔上黏膜环切术治疗32例重度痔疮临床观察.docVIP

吻合器痔上黏膜环切术治疗32例重度痔疮临床观察 　　doi：10.3969/j.issn.1007-614x.2014.14.10 　　摘 要 目的：分析吻合器痔上黏膜环切术治疗重度痔疮的临床效果。方法：2013年1月-2014年3月收治重度痔疮患者32例，采用吻合器痔上黏膜环切手术治疗的方式，在术后进行3个月的随访，观察脱出痔核的回缩、黏膜的完整性、止痛剂的使用等方面情况。结果：32例患者的住院时间2～6天，平均3.5天；手术时间10～30分钟，平均20分钟。术后，32例患者的脱出痔核部分全部收回，直肠黏膜完整的有31例（98%），术后不需要进行止痛剂止痛患者28例（90%）。术后3个月的回访，整体满意的29例（92%）。结论：通过采用吻合器痔上黏膜环切术治疗重度痔疮患者，在临床中能收到很好的效果，这种术式是当前治疗重度痔疮疾病的最佳方式，值得在临床推广使用。 　　关键词 吻合器痔上黏膜环切术 重度痔疮 临床观察 　　Clinical observation of 32 cases of severe hemorrhoids treated with Procedure for prolapse and hemorrhoids 　　Lv Shigao 　　Xinxiang Tongren Hospital of Henan Province，453000 　　Abstract Objective：To explore the clinical effect of severe hemorrhoids treated with Procedure for prolapse and hemorrhoids.Methods：We selected 32 cases of patients with severe hemorrhoids from January 2013 to March 2014.These patients were treated by procedure for prolapse and hemorrhoids.After operation，the patients were followed up for 3 months，and we observed the comprehensive situation of 32 patients，including retraction of prolapsed hemorrhoids，mucosa integrity，analgesic use etc.Results：The hospital stay of 32 patients was 2 to 6 days，average 3.5 days.Operation time was 10 to 30 minutes，average 20 minutes.After the operation，32 patients with hemorrhoids prolapse were fully recovered，and the rectal mucosa of 31 cases（98%）were complete.28 patients（90%）did not need analgesic.After the operation，the patients were followed up for 3 months，the patients satisfaction were investigated，and 29 cases（92%）were overall satisfied.Conclusion：In clinic，through the application of Procedure for prolapse and hemorrhoids for severe hemorrhoids patients，we can get good effect.At present，this is the best way to treat the severe hemorrhoids，and it is worthy of promotion. 　　Key words Procedure for prolapse and hemorrhoids；32 cases；Severe hemorrhoids；Clinical observation 　　痔是一种相对常见的疾病，尤其是重度痔疮多表现有严重出血、直肠黏膜内脱垂、痔核脱出、合并血栓、嵌顿水肿，因其发病部位的特殊性和解剖生理特点，往往多有疼痛难忍，明显下坠感，严重影响患者的工作生活，也给患者身心造成巨大的痛苦。在临床治疗上，传统的主要