CAJ | 학술논문

目的：观察内痔注射横扎并整形小切口外痔切除术治疗环状混合痔的临床疗效。方法将194例环状混合痔患者随机分为2组，治疗组98例予内痔注射横扎并整形小切口外痔切除术，对照组96例予外剥内扎硬注术。观察2组疗效、手术后视觉模拟评分法（ VAS）评分变化；观察手术后水肿、出血、肛门失禁情况；比较手术时间、创面愈合时间；观察术后并发症发生情况，包括尿潴留、肛门狭窄；观察术后6个月复发情况。结果2组治愈率比较差异有统计学意义（P＜0．05），治疗组疗效优于对照组。2组手术后VAS评分比较差异有统计学意义（P＜0．05），治疗组手术后疼痛较对照组减轻。2组水肿、出血、肛门失禁情况比较差异均有统计学意义（P＜0．05），治疗组手术后水肿、出血、肛门失禁情况均较对照组减轻。治疗组手术时间较对照组短（P＜0．05），创面愈合时间较对照组提前（P＜0．05）。治疗组手术后尿潴留、肛门狭窄发生率低于对照组（P＜0．05）。结论内痔注射横扎并整形小切口外痔切除术治疗环状混合痔，疗效确切，简便易行，费用低廉，适合在基层医院推广。
목적：관찰내치주사횡찰병정형소절구외치절제술치료배상혼합치적림상료효。방법장194례배상혼합치환자수궤분위2조，치료조98례여내치주사횡찰병정형소절구외치절제술，대조조96례여외박내찰경주술。관찰2조료효、수술후시각모의평분법（ VAS）평분변화；관찰수술후수종、출혈、항문실금정황；비교수술시간、창면유합시간；관찰술후병발증발생정황，포괄뇨저류、항문협착；관찰술후6개월복발정황。결과2조치유솔비교차이유통계학의의（P＜0．05），치료조료효우우대조조。2조수술후VAS평분비교차이유통계학의의（P＜0．05），치료조수술후동통교대조조감경。2조수종、출혈、항문실금정황비교차이균유통계학의의（P＜0．05），치료조수술후수종、출혈、항문실금정황균교대조조감경。치료조수술시간교대조조단（P＜0．05），창면유합시간교대조조제전（P＜0．05）。치료조수술후뇨저류、항문협착발생솔저우대조조（P＜0．05）。결론내치주사횡찰병정형소절구외치절제술치료배상혼합치，료효학절，간편역행，비용저렴，괄합재기층의원추엄。
Objective To observe the clinical effect of circular mixed hemorrhoid treated by internal hemor -rhoid injection transverse combined with plastic small incision resection .Methods 194 cases of circumferential mixed hemorrhoid were chosen and randomly divided into treatment group (98cases), control group (96 cases). Hemorrhoids in treatment group used by cross and plastic resection of small incision external hemorrhoid cure , cases in control group adopts outer peel inside hard injection technique .The clinical curative effect , operation time and wound healing time were observed;the postoperative pain, edema, bleeding, urinary retention, anal stenosis, anal in-continence and other major complications were observed;The postoperative recurrence of 6 months were observed . Results The clinical efficacy of treatment group is better than that of control group (P<0.05);Main complications after treatment in treatment group were lower than control group (P<0.05);Operation time and wound healing time is shorter than the control group (P<0.05);6 months postoperative recurrence rate in treatment group is lower than the control group (P<0.05).Conclusion Internal hemorrhoid injection transverse combined with plastic small in-cision resection in the treatment of circumferential mixed hemorrhoid is exact , simple and low cost of operation meth-od, suitable for promotion in grassroots hospital .