国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2014年
5期
330-332
,共3页
痔%手术后并发症%选择性痔上黏膜切除钉合术%治疗结果
痔%手術後併髮癥%選擇性痔上黏膜切除釘閤術%治療結果
치%수술후병발증%선택성치상점막절제정합술%치료결과
Hemorrhoids%Postoperative complications%Tissue-selecting therapy stapler%Treatment outcome
目的 观察选择性痔上黏膜切除钉合术治疗内痔的效果及并发症.方法 回顾性分析2011年3月-2012年3月在四川省医学科学院·四川省人民医院接受选择性痔上黏膜切除钉合术治疗的110例内痔患者的临床资料,观察术后临床疗效、不良反应及并发症发生情况.结果 本组110例患者中,Ⅱ期内痔21例,Ⅲ期内痔63例,Ⅳ期内痔26例.手术时间15 ～25 min(平均18 min),住院时间3～6d(平均4d),术后尿潴留9例(8.18％),肛门坠胀疼痛41例(37.27％),急便感8例(7.27％),无术后大出血、肛门直肠狭窄和肛门失禁,随访1年复发5例(4.55％).结论 选择性痔上黏膜切除钉合术治疗内痔具有安全、术中、术后出血少、复发率低及并发症少等优点,值得临床推广应用.
目的 觀察選擇性痔上黏膜切除釘閤術治療內痔的效果及併髮癥.方法 迴顧性分析2011年3月-2012年3月在四川省醫學科學院·四川省人民醫院接受選擇性痔上黏膜切除釘閤術治療的110例內痔患者的臨床資料,觀察術後臨床療效、不良反應及併髮癥髮生情況.結果 本組110例患者中,Ⅱ期內痔21例,Ⅲ期內痔63例,Ⅳ期內痔26例.手術時間15 ～25 min(平均18 min),住院時間3～6d(平均4d),術後尿潴留9例(8.18％),肛門墜脹疼痛41例(37.27％),急便感8例(7.27％),無術後大齣血、肛門直腸狹窄和肛門失禁,隨訪1年複髮5例(4.55％).結論 選擇性痔上黏膜切除釘閤術治療內痔具有安全、術中、術後齣血少、複髮率低及併髮癥少等優點,值得臨床推廣應用.
목적 관찰선택성치상점막절제정합술치료내치적효과급병발증.방법 회고성분석2011년3월-2012년3월재사천성의학과학원·사천성인민의원접수선택성치상점막절제정합술치료적110례내치환자적림상자료,관찰술후림상료효、불량반응급병발증발생정황.결과 본조110례환자중,Ⅱ기내치21례,Ⅲ기내치63례,Ⅳ기내치26례.수술시간15 ～25 min(평균18 min),주원시간3～6d(평균4d),술후뇨저류9례(8.18％),항문추창동통41례(37.27％),급편감8례(7.27％),무술후대출혈、항문직장협착화항문실금,수방1년복발5례(4.55％).결론 선택성치상점막절제정합술치료내치구유안전、술중、술후출혈소、복발솔저급병발증소등우점,치득림상추엄응용.
Objective To observe the clinical efficacy and adverse reactions of tissue-selecting therapy stapler with internal hemorrhoids.Methods Clinical and follow-up data of 110 cases with internal hemorrhoids undergoing tissue-selecting therapy stapler between March 2011 and March 2012 were retrospectively analyzed.The efficacy,adverse reaction and the complications were assessed.Results Of the 110 patients,Ⅱ degree hemorrhoids in 21 cases,Ⅲ degree hemorrhoids in 63 cases,Ⅳ degree hemorrhoids in 26 cases.The mean operation time was 18 minutes,range 15 to 25 minutes.The mean hospital stay time was 4 days,range 3 to 6 days.Of the 90 patients,urinary retention 9 patients (8.18％),anal bulge 41 patients(37.27％),fecal urgency 8 patients (7.27％),no other complications found,such as postoperative bleeding,anorectal stenosis and fecal incontinence.Recurrence rate was 4.55 ％ within a year follow-up.Conclusions Tissue-Selecting Therapy stapler for internal hemorrhoids is a simple and safe procedure with less intraoperative and postoperative bleeding,low recurrence rate,fewer postoperative complications and so on.It's worthy of clinic application.
