中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
2期
132-133,134
,共3页
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%Ligation outer peel%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，随机分为观察组和对照组两组，每组各60例。观察组采用痔上动脉结扎并外剥内扎术治疗，对照组仅行外剥内扎术，比较两组疗法之间的差异。结果：观察组患者的疼痛时间为（3.1±0.9）d，愈合时间为（11.2±1.9）d，大出血3例，占比5%；排便困难5例，占比8.3%；肛缘水肿10例，占比16.6%；肛门狭窄0例。观察组患者在术前、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）分和（3.0±2.5）分。观察组疼痛评分与并发症例数显著低于对照组，差异具有统计学意义（P<0.05）。结论：痔上动脉结扎并外剥内扎术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，隨機分為觀察組和對照組兩組，每組各60例。觀察組採用痔上動脈結扎併外剝內扎術治療，對照組僅行外剝內扎術，比較兩組療法之間的差異。結果：觀察組患者的疼痛時間為（3.1±0.9）d，愈閤時間為（11.2±1.9）d，大齣血3例，佔比5%；排便睏難5例，佔比8.3%；肛緣水腫10例，佔比16.6%；肛門狹窄0例。觀察組患者在術前、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）分和（3.0±2.5）分。觀察組疼痛評分與併髮癥例數顯著低于對照組，差異具有統計學意義（P<0.05）。結論：痔上動脈結扎併外剝內扎術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：회고성분석본원경과수술치료적120례다발혼합치환자，수궤분위관찰조화대조조량조，매조각60례。관찰조채용치상동맥결찰병외박내찰술치료，대조조부행외박내찰술，비교량조요법지간적차이。결과：관찰조환자적동통시간위（3.1±0.9）d，유합시간위（11.2±1.9）d，대출혈3례，점비5%；배편곤난5례，점비8.3%；항연수종10례，점비16.6%；항문협착0례。관찰조환자재술전、술후즉각、1 d、3 d화1주적VAS평분분별위（7.5±1.9）분、（3.0±1.8）분、（3.1±2.3）분、（3.5±2.4）분화（3.0±2.5）분。관찰조동통평분여병발증례수현저저우대조조，차이구유통계학의의（P<0.05）。결론：치상동맥결찰병외박내찰술다발혼합치적료효우우단행외박내찰술적전통방법，치득림상차감。
Objective:To study the artery ligation and stripping outside internal plunge in parallel double surgery for the treatment of mixed hemorrhoids.Method:120 cases in our hospital after surgical treatment of multiple mixed hemorrhoid patients were retrospective analysised,and were randomly divided into the observation group and the control group,60 cases in each group. The observation group was treated by hemorrhoid artery ligation and ligation outer peel. The control group was only treated by ligation outer peel.The differences of two groups were compared.Result: The observation group patients pain were (3.1±0.9)d;healing time were (11.2±1.9)d;3 cases of the bleeding number, accounting for 5%;5 cases of bowel movements difficult, accounting for 8.3%;10 cases of anal margin edema, accounting 16.6%; the patients were no anal stenosis. The observation group patients in the preoperative, immediate postoperative,1 day, 3 days and 1 week VAS scores were respectively(7.5±1.9),(3.0±1.8),(3.1±2.3),(3.5±2.4)and (3.0±2.5). The observation group of complications and pain scores were significantly lower than the control group ,the difference was statistically significant(P<0.05).Conclusion: The traditional method of hemorrhoid artery ligation and milligan morgan hemorrhoidectomy multiple mixed hemorrhoids curative effect is better than that of single milligan morgan hemorrhoidectomy and is worth reference in clinical.
