早期扩肛预防环状混合痔术后肛门狭窄的临床疗效

摘要

Objective:To evaluate the clinical efficacy and safety of early enlarge anus in the prevention of anal stenosis after hemorrhoidectomy for circumferential mixed hemorrhoids.Method:A total of 260 patients were included in this study from January 2011 to January 2015.The patients were randomly divided into research group (n=128) and control group (n=132).The patients in the research group were received early enlarge anus since the 7 days after operation,and this treatments were ended at 1 month after operation. Anal stenosis rates were calculated after 6 months follow-up.Result:There were no statistically significant differences between the two groups in terms of total recover time[(17.64±3.95)days vs (18.47±3.06)days](P>0.05).6 months after operation,the anal stenosis rate was 1.56%(2/128) in the research group and 9.09%(12/132) in the control group(P<0.05).Conclusion:Early enlarge anus is an useful methods to prevent the anal stenosis after hemorrhoidectomy for circumferential mixed hemorrhoids.%目的：观察早期肛门直肠指诊和扩肛对预防环状混合痔术后肛门狭窄的效果。方法：将2011年1月-2015年1月收治的260例环状混合痔患者随机分为两组，其中研究组128例，对照组132例。研究组于术后1周开始给予肛门直肠指诊和扩肛，直至术后1个月为止。术后半年随访，对两组患者术后肛门狭窄的发生率进行观察统计。结果：研究组和对照组患者的术后创面愈合时间分别为（17.64±3.95）d、（18.47±3.06）d，比较差异无统计学意义（P>0.05）。术后6个月，研究组肛门狭窄的发生率为1.56%（2/128），对照组为9.09%（12/132），比较差异有统计学意义（P<0.05）。结论：早期肛门直肠指诊是预防痔术后肛门狭窄的有效方法。