CAJ | 학술논문

目的观察应用痔上黏膜环切术(PPH)治疗痔的临床效果.方法 Ⅱ、Ⅲ、Ⅳ度痔患者78例,均接受PPH治疗,记录诊断、病史、手术时间、出血量及围手术期并发症.手术前和手术后6h、24h、1个月采用世界卫生组织生活质量量表(WHOQOL-BREF)对患者进行评分.结果术后疼痛视觉模拟评分(VAS)在6h评分为(7.6±2.1)分,术后24 h VAS评分减少至(1.3±1.1)分.术后并发症发生率较传统手术低(t=1.994,P=0.032);术后生活质量总体评分、健康总体评分、身体状况和心理状况评分均显著改善(t=1.901、1.805、1.714,P=0.041、0.038、0.029,均P＜0.05),环境评分有轻度改善,但差异无统计学意义(P＞0.05),社会生活评分没有变化.结论 PPH手术取得良好的临床效果,并发症发生率低,患者生活质量得到提高,对于痔患者应作为推荐的首选手术方式.
목적 관찰응용치상점막배절술(PPH)치료치적림상효과.방법 Ⅱ、Ⅲ、Ⅳ도치환자78례,균접수PPH치료,기록진단、병사、수술시간、출혈량급위수술기병발증.수술전화수술후6h、24h、1개월채용세계위생조직생활질량량표(WHOQOL-BREF)대환자진행평분.결과 술후동통시각모의평분(VAS)재6h평분위(7.6±2.1)분,술후24 h VAS평분감소지(1.3±1.1)분.술후병발증발생솔교전통수술저(t=1.994,P=0.032);술후생활질량총체평분、건강총체평분、신체상황화심리상황평분균현저개선(t=1.901、1.805、1.714,P=0.041、0.038、0.029,균P＜0.05),배경평분유경도개선,단차이무통계학의의(P＞0.05),사회생활평분몰유변화.결론 PPH수술취득량호적림상효과,병발증발생솔저,환자생활질량득도제고,대우치환자응작위추천적수선수술방식.
Objective To observe the clinical effect of procedure for prolapse and hemorrhoids (PPH) in treating hemorrhoids.Methods 78 patients with symptomatic Ⅱ,Ⅲ and Ⅳ degree hemorrhoids undergoing PPH were selected in this study.The diagnosis,medical history,operative time,blood loss and perioperative complications were recorded.The World Health Organization Quality of Life Scale(WHOQOL-BREF) was observed preoperation and 6 hours,24 hours,1 month postoperation.Results The postoperative pain score measured by visual analogue scale (VAS) at postoperative six hours was (7.6 ± 2.1),which reduced to (1.3 ± 1.1) at 24 hours.There was significant improvement in the overall perception of QOL,health,and in physical and psychological domains (t =1.901,1.805,1.714,P =0.041,0.038,0.029,all P ＜ 0.05).There was modest improvement in environmental domain,while no change was found in social domain (P ＞ 0.05).Conclusion PPH surgery achieves good clinical results,improved quality of life of patients,with a low incidence of complications,patients with hemorrhoids should be recommended for this preferred surgical approach.