高频电刀手术治疗痔疮的临床研究

摘要

目的:对比分析高频电刀手术、传统环扎法治疗痔疮的近、远期疗效.方法:将本院收治的174例痔疮住院手术患者纳入研究对象,采用随机数字表法将研究对象分为对照组和观察组,每组各87例,对照组采用传统的环扎术,观察组采用高频电刀手术,随访6个月,评价近、远期疗效.结果:观察组并发症发生率(26.4%)低于对照组(52.9%),差异有统计学意义(P<0.05).6个月后,观察组排便不畅、有症状发生率(3.4%、5.7%)均低于对照组(16.1%、16.1%),差异有统计学意义(P<0.05).观察组术后3 d内普通状态疼痛评分、换药疼痛评分、下床活动时间、术后首次排便完成时间均低于对照组,差异均有统计学意义(P<0.05).结论:高频电刀手术治疗痔疮有助于降低肛门狭窄风险,减轻术后早期疼痛,促进顺利排便.%Objective:To compare and analyze the short-term and long-term effects of high frequency electric knife surgery and traditional ring ligation therapy for hemorrhoids.Methods:174 cases of hemorrhoids patients in our hospital were enrolled in the study;using a random number in the research,the cases were divided into control group and observation group,87 cases in each group.The control group use traditional cerclage,observation group were treated with high frequency electric knife surgery,after 6 months follow-up,short and long term clinical effect were evaluated.Results:The complication rate of the observation group (26.4%) was lower than that of the control group (52.9%),the difference was statistically significant (P<0.05).6 months later,incidence of poor defecation and symptoms (3.4%, 5.7%) in the observation group were lower than those in the control group (16.1%, 16.1%),the difference was statistically significant (P<0.05).Within 3 days after operation,score of general state pain,pain score of dressing change,ambulation time, postoperative first defecation completion time in the observation group were lower than those in the control group,the difference was statistically significant (P<0.05).Conclusion:High frequency electrosurgical surgery for hemorrhoids is helpful to reduce the risk of anal stenosis,relieve early postoperative pain,and promote smooth defecation.