基于微创理念下超声刀混合痔切除术的临床研究.pdfVIP

中华临床医师杂志( 电子版)2013 年 12 月第 7 卷第 24 期 Chin J Clinicians(Electronic Edition),December 15,2013,Vol.7,No.24 ·11417 · ·临床论著· 基于微创理念下超声刀混合痔切除术的 临床研究 杨旭 王元钊 周惠芬 叶妮 王轶 赵璟 【摘要】 目的 探讨在微创理念指导下超声刀混合痔切除术的临床疗效。方法 将纳入 98 例择期手 术的混合痔患者按随机数字表法随机分为 2 组，各 49 例，观察组采取超声刀混合痔切除术，对照组采用电 刀进行传统 Milligan-Morgan 手术，观察比较两组患者的手术时间、术中出血量、继发性出血比例、创面愈 合时间、并发症发生率等指标。结果 观察组患者在手术时间、术后第 1 d 创面疼痛程度、愈合时间及术后 并发症发生率等方面均优于对照组，差异有统计学意义（P ＜0.05 ）；术中出血量显著少于Milligan-Morgan 手术患者（P ＜0.001 ）。结论 基于微创理念下超声刀混合痔切除术的临床疗效确切，具有微创、出血少、 愈合快等优点。 【关键词】 外科手术，微创性； 超声刀； 痔 The clinical study of harmonic scalpel in mixed hemorrhoids operation based on the minimal invasive * * surgery YANG Xu , WANG Yuan-zhao, ZHOU Hui-fen, YIE Ni, WANG Yi, ZHAO Jing. Anorectal Section, Nanjing Hospital on Integration of Chinese and Western Medicine, Nanjing 210014, China Corresponding author: WANG Yuan-zhao, Email: yxtcm. best@163.com 【Abstract 】 Objective To observe the clinical effect of the Harmonic scalpel in mixed hemorrhoids operation based on the minimal invasive surgery. Methods A randomized controlled clinical trial was carried out, 98 patients with hemorrhoids were randomly divided into two groups, patients in control group were given M-M operation with electric scalpel, but Minimal invasive surgery with Harmonic scalpel in treatment group. The operation time, intraoperative bleeding, the level of pain, the healing time, complications and so on were observed and compared. Results The treatment group showed significantly shorter operation time, fewer healing time and less complications than the control group(P ＜0.05), and the intraoperative bleeding in treatment group were more significantly reduced t