自动弹力线痔疮套扎术联合适形缝合术治疗重度脱垂性痔的疗效观察

目的 观察自动弹力线痔疮套扎术(ruiyun procedure for hemorrhoids,RPH)联合适形缝合术治疗重度脱垂性痔的疗效。方法 选取2021年6月至2022年8月徐州市第一人民医院收治的重度脱垂性痔患者78例,根据随机数字表法将其分为观察组和对照组,每组各39例。观察组患者予RPH联合适形缝合术治疗,对照组患者予外剥内扎术治疗。比较两组患者的手术时长、术中出血量、术后并发症、创面愈合时间、肛门功能及总体满意度。结果 观察组患者的术中出血量显著少于对照组,住院时间显著短于对照组(P<0.05)。观察组患者的术后疼痛、出血、肛门水肿、肛缘皮赘形成均显著优于对照组(P<0.05)。术后12周,两组患者的Wexner肛门失禁评分均显著低于本组术前(P<0.05),且观察组患者的Wexner肛门失禁评分显著低于对照组(P<0.05)。观察组患者的治愈率显著高于对照组(92.31%vs.74.36%,χ²=55.46,P=0.03),对治疗的整体满意度明显高于对照组(χ²=58.57,P=0.02)。结论 R...

Observation on the efficacy of ruiyun procedure for hemorrhoids combined with conformal suture in the treatment of severe prolapsed hemorrhoids

Objective To observe the efficacy of ruiyun procedure for hemorrhoids (RPH) combined with conformal suture in the treatment of severe prolapsed hemorrhoids. Methods Seventy-eight patients with severe prolapsed hemorrhoids admitted to the First People’s Hospital of Xuzhou from June 2021 to August 2022 were selected and divided into observation group and control group according to random number table method, with 39 cases in each group. Patients in observation group were treated with RPH combined with conformal suture, and patients in control group were treated with external peeling and internal ligation. Operation duration, intraoperative blood loss, postoperative complications, wound healing time, anal function and overall satisfaction were compared between two groups. Results The intraoperative blood loss in observation group was significantly less than that in control group, hospital stay was significantly shorter than that in control group (P<0.05). Postoperative pain, bleeding, anal edema and the formation of anal skin pad in observation group were significantly better than those in control group (P<0.05). At 12 weeks after surgery, Wexner anal incontinence scores in both groups were significantly lower than before surgery (P<0.05), and the Wexner anal incontinence score in observation group was significantly lower than that in control group (P<0.05). The cure rate of observation group was significantly higher than that of control group (92.31% vs. 74.36%, χ2=55.46, P=0.03), and the overall satisfaction with treatment was significantly higher than that of control group (χ2=58.57, P=0.02). Conclusion RPH combined with conformal suture is effective in treatment of severe prolapsed hemorrhoids, which can reduce the pain of patients, shorten the length of hospital stay, reduce complications, and improve the comfort and satisfaction of patients.