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目的探讨吻合器痔上黏膜环切术患者术后并发症的发生状况,总结患者术后并发症的护理方法。方法选择2014年7月至2016年7月作为此次研究的时间段,在此时间段内选择本院收治行吻合器痔上黏膜环切术治疗的140例痔疮患者进行研究,对所有患者的临床资料进行回顾性分析,了解患者的术后并发症的发生状况,总结出术后并发症的护理方法。结果患者平均手术时间为(29.5±5.4)min;平均住院时间为(3.9±1.7)d。患者治疗后痔团回缩,患者治疗后肛门镜检痔评分(0.4±0.3)分与治疗前(3.5±0.4)分相比明显较低,t=73.359,差异具备统计学意义(P<0.05)。患者中出现出血5例,术后疼痛3例,肛缘水肿4例,尿潴留2例。随访3个月,1例患者复发。结论吻合器痔上黏膜环切术患者术后并发症较多,临床需加以重视。
Objective To investigate the incidence of postoperative complications in patients with stapled hemorrhoidal mucosal resection and to summarize the nursing methods of postoperative complications. Methods From July 2014 to July 2016 as the study period, 140 patients with hemorrhoids who underwent hemorrhoidectomy and hemorrhoidectomy in our hospital during this time period were studied. All patients Clinical data were retrospectively analyzed to understand the patient’s postoperative complications, and to summarize the nursing methods of postoperative complications. Results The mean operative time was (29.5 ± 5.4) min and the average length of stay was (3.9 ± 1.7) days. After treatment, the hemorrhoid group was reduced. The score of hemorrhoids (0.4 ± 0.3) after treatment was significantly lower than that before treatment (3.5 ± 0.4), t = 73.359, the difference was statistically significant (P <0.05 ). Bleeding in patients in 5 cases, 3 cases of postoperative pain, anal margin edema in 4 cases, urinary retention in 2 cases. Follow-up 3 months, 1 patient relapsed. Conclusion Stapler hemorrhoidal mucosal resection of patients with more complications, clinical need to be taken seriously.