比较超声刀与传统痔切除术治疗痔患者的效果。

Comparison of harmonic scalpel versus Milligan Morgan technique in haemorrhoidectomy patients.

机构信息

Department of General Surgery, Shalamar Hospital Lahore, Pakistan.

Department of General Surgery, Lahore General Hospital (LGH), Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2021 Oct;71(10):2369-2372. doi: 10.47391/JPMA.03-1303.

DOI:10.47391/JPMA.03-1303

PMID:34974573

Abstract

OBJECTIVE

To compare the efficacy of harmonic scalpel versus Milligan Morgan technique in patients undergoing haemorrhoidectomy.

METHODOLOGY

The comparative study was conducted at the General Hospital, Lahore, Pakistan, from March to September 2019, and comprised patients undergoing haemorrhoidectomy who were randomised into haemorrhoidectomy group A and open haemorrhoidectomy group B which was exposed to the Milligan Morgan procedure. Data was collected through a predesigned questionnaire. Data was analysed using SPSS 25.

RESULTS

Of the 60 patients, there were 30(50%) in group A; 17(56.7%) males and 13(43.3%) females with an overall mean age of 44.6±7.6 years. The remaining 30(50%) patients were in group B; 19(63.3%) males and 11(36.7%) females with an overall mean age of 43.8±8.2 years. In group A, mean operative time was 20.8±2.8 minutes, while it was 26.5±2.8 minutes in group B (p=0.001). In group A, mean convalescence period was 9.7±2.9 days, while it was 13.4±3.7 days in group B (p=0.001). Group A required less time for complete wound healing compared to group B (p<0.05).

CONCLUSIONS

Harmonic scalpel haemorrhoidectomy was found to be an advantageous method compared to the Milligan Morgan technique in patients undergoing haemorrhoidectomy.

摘要

目的

比较超声刀与Milligan-Morgan 技术在痔切除术患者中的疗效。

方法

本研究于 2019 年 3 月至 9 月在巴基斯坦拉合尔总医院进行，纳入接受痔切除术的患者，将其随机分为接受痔切除术的 A 组和接受开放式痔切除术的 B 组，B 组采用 Milligan-Morgan 手术。通过预先设计的问卷收集数据。使用 SPSS 25 进行数据分析。

结果

在 60 例患者中，A 组 30 例（50%）；男性 17 例（56.7%），女性 13 例（43.3%），平均年龄 44.6±7.6 岁。B 组其余 30 例（50%）；男性 19 例（63.3%），女性 11 例（36.7%），平均年龄 43.8±8.2 岁。A 组的平均手术时间为 20.8±2.8 分钟，B 组为 26.5±2.8 分钟（p=0.001）。A 组的平均康复期为 9.7±2.9 天，B 组为 13.4±3.7 天（p=0.001）。与 B 组相比，A 组的伤口完全愈合时间更短（p<0.05）。