CAJ | 학술논문

目的：观察侧切肛管粘膜浅括约肌法治疗混合痔的临床疗效。方法将150例患者随机分为治疗组1、治疗组2和对照组各50例，对照组外剥内扎术治疗，治疗组1采用多小切口治疗，治疗组2采用多小切口+肛管粘膜合并浅括约肌侧切法。结果对照组，治疗组1治疗组，2三组在愈合时间、术后3 d 出血、术后10 d 水肿及肛门狭窄愈合等方面治疗组2明显优于对照组及治疗组1，差异有统计学意义 P ﹤0.05，治疗组2愈合时间与治疗组1无明显差别。P ﹥0.05。结论肛管粘膜浅括约肌法能有效地治疗混合痔，具有术后并发症少，简便易行，疗效确切等优点。
목적：관찰측절항관점막천괄약기법치료혼합치적림상료효。방법장150례환자수궤분위치료조1、치료조2화대조조각50례，대조조외박내찰술치료，치료조1채용다소절구치료，치료조2채용다소절구+항관점막합병천괄약기측절법。결과대조조，치료조1치료조，2삼조재유합시간、술후3 d 출혈、술후10 d 수종급항문협착유합등방면치료조2명현우우대조조급치료조1，차이유통계학의의 P ﹤0.05，치료조2유합시간여치료조1무명현차별。P ﹥0.05。결론항관점막천괄약기법능유효지치료혼합치，구유술후병발증소，간편역행，료효학절등우점。
Objective:To observe the lateral the anal mucosa shallow sphincter treatment of mixed hemorrhoids clinical efficacy. Methods:150 patients were randomly divided into a treatment group,the treatment group and the control group, 50 patients,control group stripping ligation(commonly used surgical)treatment,the treatment group using a small incision treatment,the treatment group 2 using a small incision anal mucosa merger shallow sphincter lateral Act. Results:In the control group,the treatment group,treatment group,three groups during the healing time,of postoperative the 10d edema and anal stenosis healing aspects of the treatment group was significantly better than the control group and the treatment group 1,the difference was statistically significant P ﹤ 0. 05,treatment group healing time and treatment group 1 no signifi-cant difference. P ﹥ 0. 05. Conclusion:anal mucosal shallow sphincter method can be effective in the treatment of mixed hemorrhoids,has fewer complications,simple and efficacy.