CAJ | 학술논문

目的：分析吻合器痔上黏膜环切术治疗重度痔疮的临床效果。方法：2013年1月-2014年3月收治重度痔疮患者32例，采用吻合器痔上黏膜环切手术治疗的方式，在术后进行3个月的随访，观察脱出痔核的回缩、黏膜的完整性、止痛剂的使用等方面情况。结果：32例患者的住院时间2～6天，平均3.5天；手术时间10～30分钟，平均20分钟。术后，32例患者的脱出痔核部分全部收回，直肠黏膜完整的有31例(98%)，术后不需要进行止痛剂止痛患者28例(90%)。术后3个月的回访，整体满意的29例(92%)。结论：通过采用吻合器痔上黏膜环切术治疗重度痔疮患者，在临床中能收到很好的效果，这种术式是当前治疗重度痔疮疾病的最佳方式，值得在临床推广使用。
목적：분석문합기치상점막배절술치료중도치창적림상효과。방법：2013년1월-2014년3월수치중도치창환자32례，채용문합기치상점막배절수술치료적방식，재술후진행3개월적수방，관찰탈출치핵적회축、점막적완정성、지통제적사용등방면정황。결과：32례환자적주원시간2～6천，평균3.5천；수술시간10～30분종，평균20분종。술후，32례환자적탈출치핵부분전부수회，직장점막완정적유31례(98%)，술후불수요진행지통제지통환자28례(90%)。술후3개월적회방，정체만의적29례(92%)。결론：통과채용문합기치상점막배절술치료중도치창환자，재림상중능수도흔호적효과，저충술식시당전치료중도치창질병적최가방식，치득재림상추엄사용。
Objective:To explore the clinical effect of severe hemorrhoids treated with Procedure for prolapse and hemorrhoids. Methods:We selected 32 cases of patients with severe hemorrhoids from January 2013 to March 2014.These patients were treated by procedure for prolapse and hemorrhoids.After operation,the patients were followed up for 3 months,and we observed the comprehensive situation of 32 patients,including retraction of prolapsed hemorrhoids,mucosa integrity,analgesic use etc.Results:The hospital stay of 32 patients was 2 to 6 days,average 3.5 days.Operation time was 10 to 30 minutes,average 20 minutes.After the operation,32 patients with hemorrhoids prolapse were fully recovered,and the rectal mucosa of 31 cases(98% )were complete.28 patients(90% )did not need analgesic.After the operation,the patients were followed up for 3 months,the patient's satisfaction were investigated,and 29 cases(92%)were overall satisfied.Conclusion:In clinic,through the application of Procedure for prolapse and hemorrhoids for severe hemorrhoids patients,we can get good effect.At present,this is the best way to treat the severe hemorrhoids,and it is worthy of promotion.