超声刀在痔切除术中的应用

谢友龙  彭锐  刘斌  王东   吴海雄   戴丽萍   严松

【摘要】   目的  评价超声刀在痔切除术中的应用价值。方法  回顾性分析应用超声刀施行痔切除术60例混合痔患者（超声刀组）的临床资料，并与同期60例混合痔患者施行Milligan--Morgan术（对照组）进行对比。结果  超声刀组的手术时间（10±1.2min）和对照组（20±2.5min）比较，差异有统计学意义(P<0.05)；超声刀组术中出血量（5.0±1.5ml）明显少于对照组（45±4.3ml）（P<0.001）；在术后疼痛，治愈率，复发率，术后肛门功能方面超声刀组与对照组差异无统计学意义（P>0.05）。结论   超声刀应用于痔切除术，能做到精细，安全，可行，能提高手术效率。深圳市人民医院肛肠外科谢友龙

【关键词】   痔； 超声刀 ；  应用价值

中图分类号: R657. 1　　　文献标识码: A

Application of ultrasonically in hemorrhoidectomy    

XIE you-long, PENG rui, LIU bing, WANG dong, WU hai-xiong, DAI li-ping,YAN song.  Department of General Surgery,  Shenzhen Hospital. Shenzhen 518020 Chine.

Corresponding author: XIE you-long,E-mail: youlong_73@tom.com

【Abstract】 Objective  Evaluation of ultrasonically in hemorrhoidectomy application value.  Methods  Retrospective analysis of the application of ultrasonically in hemorrhoidectomy performed60 cases of patients with mixed hemorrhoids ( ultrasonically group ) clinical data, and with the same period in60cases of patients with mixed hemorrhoid underwent Milligan--Morgan surgery (control group ) were compared.Rrsults  Ultrasonically group operation time ( 10±1.2min) and control group ( 20±2.5min), the difference was statistically significant ( P < 0.05); ultrasonically bleeding volume in operation  (5.0 ±1.5ml) was less than that of the control group(45±4.3ml) ( P < 0.001); in postoperative pain, cure rate, recurrence rate, postoperative anal function of ultrasonically group and the control group had no significant difference ( P > 0.05).Conclusion  Application of ultrasonically in hemorrhoidectomy, can do fine, safe, feasible, can improve operation efficiency.                

【Key words】 Hemorrhoids;  ultrasonically;  application value