自动弹力线痔疮套扎术联合适形缝合术治疗重度脱垂性痔的疗效观察.docx

自动弹力线痔疮套扎术联合适形缝合术治疗重度脱垂性痔的疗效观察

张玉高宏平郑娇孙杭马珂珂

[关键词]?脱垂性痔；适形缝合术；自动弹力线痔疮套扎术；加速康复外科

[中图分类号]?R657.18??????[文献标识码]?A??????[DOI]?10.3969/j.issn.1673-9701.2024.04.003

Observation?on?the?efficacy?of?ruiyun?procedure?for?hemorrhoids?combined?with?conformal?suture?in?the?treatment?of?severe?prolapsed?hemorrhoids

ZHANG?Yu，?GAO?Hongping，?ZHENG?Jiao，?SUN?Hang，?MA?Keke

Department?of?Proctology，?the?First?Peoples?Hospital?of?Xuzhou，?Xuzhou?221002，?Jiangsu，?China

[Abstract]?Objective?To?observe?the?efficacy?of?ruiyun?procedure?for?hemorrhoids?（RPH）?combined?with?conformal?suture?in?the?treatment?of?severe?prolapsed?hemorrhoids.?Methods?Seventy-eight?patients?with?severe?prolapsed?hemorrhoids?admitted?to?the?First?Peoples?Hospital?of?Xuzhou?from?June?2021?to?August?2022?were?selected?and?divided?into?observation?group?and?control?group?according?to?random?number?table?method，?with?39?cases?in?each?group.?Patients?in?observation?group?were?treated?with?RPH?combined?with?conformal?suture，?and?patients?in?control?group?were?treated?with?external?peeling?and?internal?ligation.?Operation?duration，?intraoperative?blood?loss，?postoperative?complications，?wound?healing?time，?anal?function?and?overall?satisfaction?were?compared?between?two?groups.?Results?The?intraoperative?blood?loss?in?observation?group?was?significantly?less?than?that?in?control?group，?hospital?stay?was?significantly?shorter?than?that?in?control?group?（P0.05）.?Postoperative?pain，?bleeding，?anal?edema?and?the?formation?of?anal?skin?pad?in?observation?group?were?significantly?better?than?those?in?control?group?（P0.05）.?At?12?weeks?after?surgery，?Wexner?anal?incontinence?scores?in?both?groups?were?significantly?lower?than?before?surgery?（P0.05），?and?the?Wexner?anal?incontinence?score?in?observation?group?was?significantly?lower?than?that?in?control?group?（P0.05）.?The?cure?rate?of?observation?group?was?significantly?higher?than?that?of?control?group?（92.31%?vs.?74.36%，?χ2=55.46，?P=0.03），?and?the?overall?satisfaction?wit