医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
24期
236-236,237
,共2页
余争垚%蒋宝英%王建军%洪来电
餘爭垚%蔣寶英%王建軍%洪來電
여쟁요%장보영%왕건군%홍래전
痔%环状痔%外科手术%痔疮套扎术%自动痔疮套扎器%手术疗法%临床疗效
痔%環狀痔%外科手術%痔瘡套扎術%自動痔瘡套扎器%手術療法%臨床療效
치%배상치%외과수술%치창투찰술%자동치창투찰기%수술요법%림상료효
Hemorrhoids%Circumferential mixed hemorrhoids%Surgery%Ligation of hemorrhoids Hemorrhoids ligation device automatical y%Surgical therapy%Clinical efficacy
目的：为探讨自动痔疮套扎术（RPH）联合传统手术治疗环状混合痔的临床疗效。方法将本院2011年6月~2012年6月112例环状混合痔患者随机分为观察组和对照组，各56例，观察组采用RPH联合传统手术治疗，对照组采用单纯传统手术（混合痔外剥内扎术），对比分析两组患者的疗效。结果治疗组治愈52例，显效3例，有效1例，总有效率100%；对照组的治愈50例，显效4例，有效2例，总有效率100%。两组总有效率差异无统计学意义，（P＞0．05），但两组术后疼痛、术后并发症、术后创面愈合时间、术后复发率，观察组明显优于对照组，P<0．05，有统计学意义。结论 RPH联合传统手术治疗环状混合痔不但保留了传统手术的优点，而且发挥了RPH术创伤小、痛苦轻、恢复快、并发症少、复发率低等优越性，是一种较好的治疗方法。
目的：為探討自動痔瘡套扎術（RPH）聯閤傳統手術治療環狀混閤痔的臨床療效。方法將本院2011年6月~2012年6月112例環狀混閤痔患者隨機分為觀察組和對照組，各56例，觀察組採用RPH聯閤傳統手術治療，對照組採用單純傳統手術（混閤痔外剝內扎術），對比分析兩組患者的療效。結果治療組治愈52例，顯效3例，有效1例，總有效率100%；對照組的治愈50例，顯效4例，有效2例，總有效率100%。兩組總有效率差異無統計學意義，（P＞0．05），但兩組術後疼痛、術後併髮癥、術後創麵愈閤時間、術後複髮率，觀察組明顯優于對照組，P<0．05，有統計學意義。結論 RPH聯閤傳統手術治療環狀混閤痔不但保留瞭傳統手術的優點，而且髮揮瞭RPH術創傷小、痛苦輕、恢複快、併髮癥少、複髮率低等優越性，是一種較好的治療方法。
목적：위탐토자동치창투찰술（RPH）연합전통수술치료배상혼합치적림상료효。방법장본원2011년6월~2012년6월112례배상혼합치환자수궤분위관찰조화대조조，각56례，관찰조채용RPH연합전통수술치료，대조조채용단순전통수술（혼합치외박내찰술），대비분석량조환자적료효。결과치료조치유52례，현효3례，유효1례，총유효솔100%；대조조적치유50례，현효4례，유효2례，총유효솔100%。량조총유효솔차이무통계학의의，（P＞0．05），단량조술후동통、술후병발증、술후창면유합시간、술후복발솔，관찰조명현우우대조조，P<0．05，유통계학의의。결론 RPH연합전통수술치료배상혼합치불단보류료전통수술적우점，이차발휘료RPH술창상소、통고경、회복쾌、병발증소、복발솔저등우월성，시일충교호적치료방법。
Conclusion The study was investigate the clinical ef ect of of RPH combined traditional surgery for treating circumferential mixed hemorrhoids. Method The 112 patients which accepted by our hospital from June 2011 to June 2012 with this circumferential mixed hemorrhoids were randomly divided into observation group and control group,56 cases for each group. Observation group received RPH combined traditional surgery,control group received only traditional surgery (External dissection&internal ligation,then the curative ef ects of both groups were compared and analysed.As Results,in observation group 52 cases were cured ,3 got excellent ef ect,1 got ef ect, the total ef ective rate was 100%,while in control group 50 cases,4,2 and 100%,respectively;the total ef ective rate of both groups had no statistical dif erences (P>0.05),but in postoperative pain、postoperative complications, healing time of wound , postoperative recurrence rate,observation group was significantly superior to control group (P<0.05). Conclusion show that RPH combined traditional surgery in the treatment of circumferential hemorrhoids not only retained the advantages of traditional surgery ,but also played the superiors of RPH surgery like less trauma , less pain, faster recovery , fewer complications, low recurrence rate,thus is a bet er therapy.
