中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
17期
44-46
,共3页
李康平%张禄芳%喻登明%黄连焕%桂鹏
李康平%張祿芳%喻登明%黃連煥%桂鵬
리강평%장록방%유등명%황련환%계붕
痔上动脉结扎%外剥内扎术%多发混合痔
痔上動脈結扎%外剝內扎術%多髮混閤痔
치상동맥결찰%외박내찰술%다발혼합치
Hemorrhoid artery ligation%Milligan-Morgan%Multiple mixed hemorrhoids
目的:研究动脉结扎术和外剥内扎术双术并行治疗混合痔的效果。方法:回顾性分析本院经过手术治疗的120例多发混合痔患者的资料,以痔上动脉结扎并外剥内扎术治疗的患者为观察组(n=60),以外剥内扎术治疗的患者为对照组(n=60),比较两组的手术效果。结果:观察组的疼痛时间为(3.1±0.9)d,愈合时间为(11.2±1.9)d,大出血3例(5.0%),排便困难5例(8.3%),肛缘水肿10例(16.6%),肛门狭窄0例。观察组在术前、术后即刻、1 d、3 d和1周的VAS评分分别为(7.5±1.9)分、(3.0±1.8)分、(3.1±2.3)分、(3.5±2.4)和(3.0±2.5)分。观察组的疼痛时间、愈合时间、疼痛评分(术后3 d、1周)及并发症例数均明显高于对照组,差异均有统计学意义(P<0.05)。结论:痔上动脉结扎并外剥内扎术治疗多发混合痔的疗效优于单行外剥内扎术的传统方法,值得临床借鉴。
目的:研究動脈結扎術和外剝內扎術雙術併行治療混閤痔的效果。方法:迴顧性分析本院經過手術治療的120例多髮混閤痔患者的資料,以痔上動脈結扎併外剝內扎術治療的患者為觀察組(n=60),以外剝內扎術治療的患者為對照組(n=60),比較兩組的手術效果。結果:觀察組的疼痛時間為(3.1±0.9)d,愈閤時間為(11.2±1.9)d,大齣血3例(5.0%),排便睏難5例(8.3%),肛緣水腫10例(16.6%),肛門狹窄0例。觀察組在術前、術後即刻、1 d、3 d和1週的VAS評分分彆為(7.5±1.9)分、(3.0±1.8)分、(3.1±2.3)分、(3.5±2.4)和(3.0±2.5)分。觀察組的疼痛時間、愈閤時間、疼痛評分(術後3 d、1週)及併髮癥例數均明顯高于對照組,差異均有統計學意義(P<0.05)。結論:痔上動脈結扎併外剝內扎術治療多髮混閤痔的療效優于單行外剝內扎術的傳統方法,值得臨床藉鑒。
목적:연구동맥결찰술화외박내찰술쌍술병행치료혼합치적효과。방법:회고성분석본원경과수술치료적120례다발혼합치환자적자료,이치상동맥결찰병외박내찰술치료적환자위관찰조(n=60),이외박내찰술치료적환자위대조조(n=60),비교량조적수술효과。결과:관찰조적동통시간위(3.1±0.9)d,유합시간위(11.2±1.9)d,대출혈3례(5.0%),배편곤난5례(8.3%),항연수종10례(16.6%),항문협착0례。관찰조재술전、술후즉각、1 d、3 d화1주적VAS평분분별위(7.5±1.9)분、(3.0±1.8)분、(3.1±2.3)분、(3.5±2.4)화(3.0±2.5)분。관찰조적동통시간、유합시간、동통평분(술후3 d、1주)급병발증례수균명현고우대조조,차이균유통계학의의(P<0.05)。결론:치상동맥결찰병외박내찰술치료다발혼합치적료효우우단행외박내찰술적전통방법,치득림상차감。
Objective:To study the effect of hemorrhoid artery ligation and Milligan-Morgan in the treatment of multiple mixed hemorrhoids.Method:120 patients with multiple mixed hemorrhoid in our hospital after surgical treatment were retrospectively analyzed,the patients treated with hemorrhoid artery ligation and Milligan-Morgan therapy were set up the observation group(n=60),the patients treated with Milligan-Morgan therapy were set up the control group(n=60), the difference of the operation effect between the two groups were compareed.Result:In the observation group,the pain of time was(3.1±0.9)days,healing time was(11.2±1.9)days,the number of bleeding were three cases(5.0%), the number of bowel movements difficult were five cases(8.3%),the number of anal margin edema were 10 cases (16.6%),the anal stenosis had no one case,accounting for 0.0%. The patients in the preoperative,VAS scores immediate postoperative,1 day,3 days and 1 week were(7.5±1.9),(3.0±1.8),(3.1±2.3),(3.5±2.4)and(3.0±2.5). The pain of time,the healing time,the number of complications,pain scores(3 d,1 week after operation)of the observation group were significantly higher,there are significant differences between the two group were compared,the differences were statistically significant(P<0.05).Conclusion:The curative effect of hemorrhoid artery ligation and Milligan-Morgan in the treatment of multiple mixed hemorrhoids is better than that of Milligan-Morgan,is worthy of reference for clinical.