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| Clinical Study of Simple Four-point Traction Method and Purse-string Suture Traction Method in the treatment of Severe Rickets with Anastomotic Sacral Hemorrhoids |
| LI Guoli, ZHANG Suyun |
| The Hospital of Chifeng, Neimenggu Chifeng 024000, China |
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Abstract Objective: To explore the clinical effect of simple four-point traction method and purse-string suture traction method on the treatment of severe rickets with anastomotic sacral hemorrhoidectomy (PPH). Methods: 60 patients with severe rickets admitted to our hospital from March 2018 to May 2019 were enrolled. The patients were divided into study group and control group according to the simple randomization. The study group adopted a simple four-point traction method. The control group was subjected to a purse-string suture traction method. Visual analog scale (VAS) was used to assess the degree of pain in patients. Defecation incontinence scale (FISI) and defecation obstruction (ODS) scores were used to estimate the degree of defecation incontinence and obstruction. The VAS scores and surgical related indexes were compared between the two groups. FISI score, ODS score, clinical efficacy, postoperative complications. Results: The VAS score of the study group was significantly lower than that of the control group. The intraoperative blood loss of the study group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The operation time and postoperative hospital stay of the two groups were statistically significant (P<0.05). The difference was not statistically significant (P>0.05). The FISI score and ODS score of the two groups were significantly lower than those before operation (P<0.05). The FISI score and ODS score of the study group were significantly lower than those of the control group. The total effective rate of the study group was 96.7%, which was higher than that of the control group, but the difference was not statistically significant (P>0.05). The postoperative complication rate of the study group was 6.7%, which was lower than that of the control group (20.0%), but the difference was not statistically significant (P>0.05). Conclusion: PPH treatment of severe rickets using simple four-point traction method is more effective than the purse-string suture traction method in reducing pain, defecation incontinence, obstruction, and reducing postoperative complications. It is worth promoting.
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2020, Vol. 26 
