本文選題：環(huán)形混合痔 + 自動(dòng)彈力線痔瘡套扎器�。� 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察運(yùn)用自動(dòng)彈力線痔瘡套扎器(RPH-4)治療環(huán)形混合痔的臨床療效,客觀評價(jià)自動(dòng)彈力線痔瘡套扎器(RPH-4)在治療環(huán)形混合痔中的應(yīng)用價(jià)值。材料與方法:將2015年10月至2016年5月在遼寧省肛腸醫(yī)院接受住院治療的60例環(huán)形混合痔患者,按隨機(jī)分組原則分為治療組30例和對照組30例。治療組運(yùn)用自動(dòng)彈力線痔瘡套扎器(RPH-4),對照組采用外剝內(nèi)扎術(shù)。兩組患者術(shù)前、術(shù)后給予相同的處置。根據(jù)擬定的量化評分觀察并記錄兩組患者的總體療效、手術(shù)一般情況、近期術(shù)后并發(fā)癥、遠(yuǎn)期復(fù)發(fā)情況和安全性指標(biāo)。運(yùn)用SPSS20.0統(tǒng)計(jì)軟件進(jìn)行分析。結(jié)果:1.兩組患者的年齡、性別、病程、術(shù)前癥狀、外痔類型上均具有可比性。2.兩組患者出院時(shí)總體療效比較無統(tǒng)計(jì)學(xué)意義(p0.05),兩組患者總體療效有效率均為100%。3.在手術(shù)一般情況中,兩組患者在手術(shù)時(shí)間、創(chuàng)面愈合時(shí)間、術(shù)后肛門平整度評分三方面比較中具有統(tǒng)計(jì)學(xué)意義(p0.05)。治療組在手術(shù)時(shí)間、創(chuàng)面愈合時(shí)間方面短于對照組,治療組在術(shù)后肛門平整度方面較對照組更平整。4.在術(shù)后近期并發(fā)癥中,兩組患者分別在術(shù)后第1、3、7天創(chuàng)面疼痛評分比較中有統(tǒng)計(jì)學(xué)意義(p0.05),治療組在術(shù)后疼痛程度方面優(yōu)于對照組。兩組患者分別在術(shù)后第1周、第2周的急便感評分比較中有統(tǒng)計(jì)學(xué)意義(p0.05),治療組在術(shù)后近期急便感的發(fā)生及程度上低于對照組。兩組患者在術(shù)后第10天肛門狹窄評分比較中有統(tǒng)計(jì)學(xué)意義(p0.05),治療組在術(shù)后近期肛門狹窄的發(fā)生和程度上低于對照組。兩組患者在術(shù)后12天以內(nèi)最嚴(yán)重時(shí)的出血評分、術(shù)后12天內(nèi)最嚴(yán)重的肛周水腫評分和術(shù)后24小時(shí)以內(nèi)排尿困難評分的比較中無統(tǒng)計(jì)學(xué)差異(p0.05),提示兩組患者在術(shù)后出血、術(shù)后肛周水腫和術(shù)后排尿困難方面無明顯差異。5.術(shù)后3個(gè)月隨訪,兩組患者沒有出現(xiàn)復(fù)發(fā)情況。6.兩組患者在安全性指標(biāo)方面未出現(xiàn)明顯異常及不良反應(yīng)。結(jié)論:1.兩組手術(shù)方法對環(huán)形混合痔的治療均安全、有效,術(shù)后3個(gè)月內(nèi)均無復(fù)發(fā)。2.治療組手術(shù)方法對環(huán)形混合痔的治療相比對照組手術(shù)方法更加簡便,提高術(shù)后肛門美觀程度,縮短創(chuàng)面愈合時(shí)間。3.治療組手術(shù)方法相比對照組可以緩解術(shù)后創(chuàng)面疼痛,減少術(shù)后近期急便感、肛門狹窄的發(fā)生。4.兩組手術(shù)方法治療環(huán)形混合痔在降低術(shù)后出血、肛周水腫和排尿困難方面無差異。
[Abstract]:Objective: to observe the clinical effect of RPH-4 in the treatment of circular mixed hemorrhoids, and to evaluate objectively the value of RPH-4 in the treatment of circular mixed hemorrhoids. Materials and methods: from October 2015 to May 2016, 60 patients with circular mixed hemorrhoids were divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with RPH-4, and the control group was treated with external exfoliation and internal ligation. Patients in both groups were given the same treatment before and after operation. To observe and record the overall curative effect, general operation, postoperative complications, long term recurrence and safety index of the two groups according to the quantitative score. SPSS20.0 statistical software was used to analyze. The result is 1: 1. Age, sex, course of disease, preoperative symptoms and types of external hemorrhoids were comparable between the two groups. There was no significant difference in the total curative effect between the two groups when discharged from hospital. The overall effective rate of the two groups was 100. 3. In general, there was significant difference between the two groups in the operation time, wound healing time and postoperative anal flatness score (P 0.05). The operative time and wound healing time in the treatment group were shorter than those in the control group, and the anal smoothness in the treatment group was more level than that in the control group. In the postoperative complications, the pain scores of the two groups were significantly higher than that of the control group on the 1st and 7th day after operation, and the pain degree of the treatment group was better than that of the control group. In the first week and the second week after operation, there was a significant difference between the two groups in the score of acute stool. The incidence and degree of the acute stool in the treatment group was lower than that in the control group. The scores of anal stenosis in the two groups were significantly higher than those in the control group on the 10th day after operation, and the incidence and degree of anal stenosis in the treatment group were lower than those in the control group. There was no significant difference between the two groups in the scores of bleeding within 12 days after operation, perianal edema in 12 days after operation and dysuria in 24 hours after operation, indicating that the two groups had bleeding after operation. There was no significant difference between perianal edema and dysuria after operation. Follow up 3 months after operation, the two groups of patients did not have recurrence. 6. There was no obvious abnormality and adverse reaction in safety index between the two groups. Conclusion 1. The two groups were safe and effective in the treatment of circular mixed hemorrhoids. There was no recurrence within 3 months after operation. Compared with the control group, the surgical treatment of circular mixed hemorrhoids in the treatment group was more simple, improved the aesthetic degree of anus and shortened the healing time of wound. Compared with the control group, the operation method in the treatment group can relieve the pain of the wound, reduce the shortness of the post operation, and the occurrence of anal stricture. 4. 4. There was no difference between the two groups in reducing postoperative bleeding, perianal edema and dysuria.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R657.18

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 Andreia Albuquerque;;Rubber band ligation of hemorrhoids: A guide for complications[J];World Journal of Gastrointestinal Surgery;2016年09期

2 韓冰冰;胡家興;;自動(dòng)彈力線痔瘡套扎器(RPH-4)的應(yīng)用[J];醫(yī)療裝備;2016年15期

3 陳華;陳泓磊;雷霆;宗軼;鄭偉琴;萬星陽;;改良外剝內(nèi)扎加外科肛管成形術(shù)治療環(huán)狀混合痔的臨床效果[J];中國醫(yī)學(xué)創(chuàng)新;2016年20期

4 吳濤;張兵;汪建;饒佳;牟其蓉;劉光普;廖偉;;自動(dòng)痔瘡套扎術(shù)(RPH)治療混合痔常見并發(fā)癥分析及處理[J];內(nèi)蒙古中醫(yī)藥;2016年04期

5 趙侖;柳越冬;専登輝;;彈力線聯(lián)合外剝內(nèi)扎治療重度混合痔臨床觀察[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2016年06期

6 張永安;張旗;翟敏;徐慧磊;周峰;巫益珍;;柱狀縫扎術(shù)治療環(huán)狀混合痔36例臨床觀察[J];湖南中醫(yī)雜志;2016年02期

7 井曉峰;秦?zé)?;RPH與PPH治療內(nèi)痔為主環(huán)狀混合痔:附210例分析[J];中國現(xiàn)代手術(shù)學(xué)雜志;2016年01期

8 蘇云;李志鵬;劉紅麗;王文軍;;小口多點(diǎn)剝離結(jié)扎加皮橋整形術(shù)治療環(huán)狀混合痔的臨床研究[J];世界中西醫(yī)結(jié)合雜志;2015年12期

9 周方敏;馮強(qiáng);姚勇;楊衛(wèi);;改良外剝內(nèi)扎術(shù)治療環(huán)狀混合痔的效果觀察[J];醫(yī)學(xué)理論與實(shí)踐;2015年22期

10 楊會(huì)舉;;痔核剝離皮瓣縫合治療環(huán)狀混合痔的臨床研究[J];實(shí)用中西醫(yī)結(jié)合臨床;2015年09期

相關(guān)博士學(xué)位論文 前1條

1 江玉;古代中醫(yī)外科外治方法發(fā)明創(chuàng)造價(jià)值的研究[D];成都中醫(yī)藥大學(xué);2011年

，

本文編號：1812809