缝线固定黏片固定术治疗脱垂痔的临床疗效评价。

IF 1.3 Q3 Medicine

Minerva chirurgica Pub Date : 2021-01-12 DOI:10.23736/S0026-4733.20.08526-0

M. Zhai, Yizhen Wu, Rui-sheng Xu, Zhijun Zhang

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引用次数: 2

摘要

BACHGROUND评价缝合固定黏片固定术治疗脱垂性痔疮的临床疗效。方法2018年至2019年，浦东新区中医医院共收治了123例Ⅱ、Ⅲ、Ⅳ级痔疮患者。他们被随机分为缝合固定组（SF，n=60）和Milligan-Morgan痔疮切除组（MM，n=63）。前瞻性评估临床疗效、术后疼痛、平均手术时间、住院时间、并发症和患者满意度。结果两组患者的临床疗效、手术时间和住院时间无显著性差异（P>0.05），但SF组VAS评分低于MM组。结论与Milligan-Morgan痔疮切除术相比，缝合固定黏片固定术治疗脱垂型痔疮效果良好，但在减轻术后疼痛和保护肛门功能方面更有优势。

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Evaluation of clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoid.

BACHGROUND To evaluate the clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoids. METHODS A total of 123 patients with grade II, III, and IV hemorrhoids were admitted to The TCM Hospital of Pu Dong New District between 2018 and 2019. They were randomly divided into the suture-fixation group (SF, n=60) and the Milligan-Morgan hemorrhoidectomy group (MM, n=63). Clinical efficacy, postoperative pain, average operation time, hospital stay, complications, and patient satisfaction were prospectively evaluated. RESULTS No significant differences were identified in clinical efficacy, operation time and hospital stay between the two groups (P>0.05). However, VAS score in the SF group was lower than that in the MM group. And the SF group was also more advantageous in anal function protection (P<0.05). In addition, the results of the follow-up survey revealed no significant difference in postoperative recurrence rate and patient satisfaction (P>0.05). CONCLUSIONS Compared with Milligan-Morgan hemorrhoidectomy, suture-fixation mucopexy is as effective in the treatment of prolapsed hemorrhoid, but it has more advantages in reducing postoperative pain and protecting the anal function.

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来源期刊

Minerva chirurgica 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.