CAJ | 학술논문

目的：探讨治疗环状混合痔的理想术式。方法采用具有限制性手术性质的肛门整形手术术式治疗102例环状混合痔患者，并对患者总体疗效进行评价。结果术中出血量平均为60 ml；手术平均时间为65 min；术后Ⅰ级疼痛34例，Ⅱ级疼痛62例，Ⅲ级疼痛6例；无肛门失禁和伤口感染；治愈率为100.0％；平均住院时间为9.11 d。术后对83例患者随访6～18个月共269例次，无肛门狭窄、直肠黏膜外翻、混合痔复发，肛缘外观平整。结论该术式符合现代痔的治疗原则，具有手术操作简便、疗效确切等优点，值得临床推广应用。
목적：탐토치료배상혼합치적이상술식。방법채용구유한제성수술성질적항문정형수술술식치료102례배상혼합치환자，병대환자총체료효진행평개。결과술중출혈량평균위60 ml；수술평균시간위65 min；술후Ⅰ급동통34례，Ⅱ급동통62례，Ⅲ급동통6례；무항문실금화상구감염；치유솔위100.0％；평균주원시간위9.11 d。술후대83례환자수방6～18개월공269례차，무항문협착、직장점막외번、혼합치복발，항연외관평정。결론해술식부합현대치적치료원칙，구유수술조작간편、료효학절등우점，치득림상추엄응용。
Objective To investigate the ideal surgical procedures in treatment of circumferential mixed hemorrhoids .Methods Anal plastic surgery with restrictive surgical nature was used to treat 102 circumferential mixed hemorrhoid patients , and the overall efficacy in patient was evaluated .Results The average blood loss was 60 ml;op-erative average time was 65 min;postoperative pain grading showed gradeⅠpain in 34 cases, gradeⅡpain in 62 cases, grade Ⅲpain in 6 cases;there were no incontinence and wound infections found , the cure rate was 100.0%;aver-age length of stay was 9.11 d;after surgery 83 patients(269 case times) were followed up for 6 to 18 months.No a-nal stenosis , rectal mucosa eversion , and recurrence of mixed hemorrhoid were found , and the anus showed a smooth appearance .Conclusion The procedure is in line with the principles of modern treatment of hemorrhoids , has ad-vantage of simple surgical procedure,exact effect, etc, and is worthy of promotion.