中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
3期
261-264
,共4页
芍倍注射%痔疮%痔上黏膜环形错位套扎吻合术
芍倍註射%痔瘡%痔上黏膜環形錯位套扎吻閤術
작배주사%치창%치상점막배형착위투찰문합술
Shaobei injection%hemorrhoid%east rubber band ligation and coincide of dislocation for prolapse and hemorrhoid
目的：评价芍倍注射液辅助痔上黏膜环形错位套扎吻合术(EPH)治疗中重度痔疮的临床疗效。方法：将我院收治的72例中重度(Ⅲ~Ⅳ)痔患者随机分为两组，治疗组39例行芍倍注射液辅助EPH治疗，对照组33例行EPH治疗。观察比较两组患者手术时间、术后并发症及治愈率的差异。结果：治疗组与对照组的手术时间分别为（15±5）min和（13±4）min，差异无统计学意义（t=1.74, P＞0.05）；治愈率分别为治愈率为97.4%和96.7%，差异亦无统计学意义(t=0.71,P＞0.05)。治疗组和对照组出血量分别为（10±3）mL和（14±2）mL,差异有统计学意义（t=5.90, P＜0.05）；治疗组无并发症发生，对照组有6例出现并发症，二者比较差异有统计学意义（P=0.013）。结论：芍倍注射液辅助EPH是治疗中重度痔疮的一种安全有效方法，具有操作简单，费用低，术后恢复快，并发症少及可重复操作等优点，值得临床推广。
目的：評價芍倍註射液輔助痔上黏膜環形錯位套扎吻閤術(EPH)治療中重度痔瘡的臨床療效。方法：將我院收治的72例中重度(Ⅲ~Ⅳ)痔患者隨機分為兩組，治療組39例行芍倍註射液輔助EPH治療，對照組33例行EPH治療。觀察比較兩組患者手術時間、術後併髮癥及治愈率的差異。結果：治療組與對照組的手術時間分彆為（15±5）min和（13±4）min，差異無統計學意義（t=1.74, P＞0.05）；治愈率分彆為治愈率為97.4%和96.7%，差異亦無統計學意義(t=0.71,P＞0.05)。治療組和對照組齣血量分彆為（10±3）mL和（14±2）mL,差異有統計學意義（t=5.90, P＜0.05）；治療組無併髮癥髮生，對照組有6例齣現併髮癥，二者比較差異有統計學意義（P=0.013）。結論：芍倍註射液輔助EPH是治療中重度痔瘡的一種安全有效方法，具有操作簡單，費用低，術後恢複快，併髮癥少及可重複操作等優點，值得臨床推廣。
목적：평개작배주사액보조치상점막배형착위투찰문합술(EPH)치료중중도치창적림상료효。방법：장아원수치적72례중중도(Ⅲ~Ⅳ)치환자수궤분위량조，치료조39례행작배주사액보조EPH치료，대조조33례행EPH치료。관찰비교량조환자수술시간、술후병발증급치유솔적차이。결과：치료조여대조조적수술시간분별위（15±5）min화（13±4）min，차이무통계학의의（t=1.74, P＞0.05）；치유솔분별위치유솔위97.4%화96.7%，차이역무통계학의의(t=0.71,P＞0.05)。치료조화대조조출혈량분별위（10±3）mL화（14±2）mL,차이유통계학의의（t=5.90, P＜0.05）；치료조무병발증발생，대조조유6례출현병발증，이자비교차이유통계학의의（P=0.013）。결론：작배주사액보조EPH시치료중중도치창적일충안전유효방법，구유조작간단，비용저，술후회복쾌，병발증소급가중복조작등우점，치득림상추엄。
Objective: To evaluate the clinical efficacy and safety of the east rubber band ligation and coin?cide of dislocation for prolapse and hemorrhoid (EPH) with Shaobei injection in the treatment for patients with moderate and severe degree hemorrhoid. Methods seventy-two patients with moderate and severe degree hemorrhoid (Ⅲ~Ⅳ) were divided into two groups: the treatment group (39 cases, EPH combination with Shaobei injection group) and the control group (33 cases, EPH group). The operation time, perioperative bleeding, the cu?rative rate and postoperative complication were examined. Results The operation time of treatment group and control group was (15 ± 5) min and (13 ± 4) min respectively. The cure rate was respectively 97.4% and 96.7%, without difference statistically significant (P>0.05). The amount of bleeding was (10 ± 3) mL and (14 ± 2) mL re?spectively in the treatment group and the control group. The difference was statistically significant. No complica?tion was found, but 6 cases with complications were found in the treatment group, with statistically significant dif?ference between them (P=0.013). Conclusion EPH combined with Shaobei injection shows a safe and effec?tive method in the treatment of moderate and severe degree hemorrhoid (Ⅲ~Ⅳ). This combination is shown by shortening operation time,reducing bleeding and less postoperative complications, lowering cost,and quickening recovery, thus it can be popularized.
