临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (4): 8-.

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LigaSure 痔切除术与Ferguson 痔切除术治疗脱垂性混合痔的临床疗效对比

  

  1. 佛山市顺德区容桂街道新容奇医院 普通外科,广东 佛山 528303
  • 出版日期:2021-10-01 发布日期:2021-12-23

Comparison of clinical efficacy between LigaSure hemorrhoidectomy and Ferguson hemorrhoidectomy for prolapsed mixed hemorrhoid

  1. General Surgery Department of Xinrongqi Hospital in Ronggui Street of Shunde District in Foshan City, Foshan 528303, Guangdong
  • Online:2021-10-01 Published:2021-12-23

摘要:

目的 比较LigaSure 痔切除术与Ferguson 痔切除术治疗脱垂性混合痔的临床疗效。方法 选取2018 年6 月至2019 年6 月佛山市顺德区容桂街道新容奇医院收治的120 例脱垂性混合痔患者,按照手术方法的不同分为观察组(接受LigaSure 痔切除术,n=60)及对照组(接受Ferguson 痔切除术,n=60)。比较两组患者术后住院天数、住院费用、术中出血量、手术时间、术后疼痛、术后肛门括约肌功能以及术后尿潴留、术后出血、切口感染、术后复发、肛门狭窄发生率等的差异。结果 观察组患者术后住院天数、住院费用、术中出血量、手术时间均有优于对照组(P < 0.05),但两组患者创面愈合时间差异无显著性(P > 0.05)。两组患者术后尿潴留、术后出血、切口感染、术后复发、肛门狭窄发生率比较,差异均无显著性(P > 0.05)。观察组患者术后第1、2、3、7、14 天疼痛评分均低于对照组,差异有显著性(P < 0.05),但两组患者术后肛管最大收缩压、肛管静息压差异均无显著性(P > 0.05)。结论 LigaSure 痔切除术应用于脱垂性混合痔患者安全、有效,与Ferguson 痔切除术相比,有助于缩短手术时间,减少术中出血,

有利于患者恢复。

关键词: LigaSure 痔切除术, Ferguson 痔切除术, 脱垂, 混合痔, 临床疗效

Abstract:

Objective To observe the clinical efficacy of LigaSure hemorrhoidectomy and Ferguson

hemorrhoidectomy for prolapsed mixed hemorrhoids. Methods The clinical data of 120 patients with

prolapsed mixed hemorrhoids treated in Xinrongqi Hospital in Ronggui Street of Shunde District

in Foshan City from June 2018 to June 2019 were analyzed and randomly divided into observation

groups (receiving LigaSure hemorrhoidectomy, n=60) and controls methods. Group (received Ferguson

hemorrhoidectomy, n=60)according to different surgical . The two groups were compared for the number

of days of postoperative hospitalization, the cost of hospitalization, the amount of intraoperative bleeding,

the time of operation, postoperative pain, postoperative anal sphincter function and postoperative urinary retention, postoperative bleeding, wound infection, postoperative recurrence, and anal stenosis and other

differences. Results The number of hospital stays, hospitalization costs, intraoperative blood loss, and

operation time in the observation group were better than those in the control group (P < 0.05). There

was no significant difference in wound healing time between the two groups (P > 0.05). There were no

significant differences in the incidence of urinary retention, postoperative bleeding, incision infection,

postoperative recurrence, and anal stenosis (P>0.05). The observation group had low pain scores at 1, 2,

3, 7 and 14 days after surgery. In the control group, the difference was statistically significant (P < 0.05),

and there was no significant difference in the maximum systolic pressure and resting anal pressure of

the anal canal between the two groups (P > 0.05). Conclusion LigaSure hemorrhoidectomy is safe and

effective for patients with prolapsed mixed hemorrhoids. Compared with Ferguson hemorrhoidectomy, it

can help shorten the operation time, reduce intraoperative bleeding, it is conducive to patient recovery.

Key words: LigaSure hemorrhoidectomy, Ferguson hemorrhoidectomy, Prolapsed, Mixed hemorrhoids, Clinical efficacy