CAJ | 학술논문

目的：观察自动痔疮套扎术（ RPH）治疗混合痔合并直肠粘膜内脱垂患者的临床效果与传统外剥内扎术比较有何种优点。方法观察手术时间、术中出血量、改善排便困难、术后并发症和平均住院日等情况，比较RPH治疗的98例混合痔合并直肠粘膜内脱垂患者与传统外剥内扎术治疗的98例混合痔合并直肠粘膜内脱垂患者的临床疗效。结果 RPH组在手术时间、手术出血量、改善排便困难、术后创面疼痛、出血、水肿，平均住院日等方面均显著优于对照组（P＜0．05）。结论RPH对混合痔合并直肠粘膜内脱垂患者具有疗效显著，手术简便、出血少、术后并发症少，术后恢复快、能有效改善排便困难症状，易于推广等优点。
목적：관찰자동치창투찰술（ RPH）치료혼합치합병직장점막내탈수환자적림상효과여전통외박내찰술비교유하충우점。방법관찰수술시간、술중출혈량、개선배편곤난、술후병발증화평균주원일등정황，비교RPH치료적98례혼합치합병직장점막내탈수환자여전통외박내찰술치료적98례혼합치합병직장점막내탈수환자적림상료효。결과 RPH조재수술시간、수술출혈량、개선배편곤난、술후창면동통、출혈、수종，평균주원일등방면균현저우우대조조（P＜0．05）。결론RPH대혼합치합병직장점막내탈수환자구유료효현저，수술간편、출혈소、술후병발증소，술후회복쾌、능유효개선배편곤난증상，역우추엄등우점。
Objective To observe the superiority of the clinical effects of automatic ligation of hemorrhoids(RPH)for mixed hemorrhoids plus Prolapse of Rectal Mucosa compared with Milligan-morgan haemorrhoidectomy .Methods The experiment group patients ( 98 cases ) were treated by the automatic ligation of hemorrhoids,and the control group patients(98 cases)were treated by traditional Milligan-Morgan. The main observation outcomes were cure rate , time of operation , postoperative pain scores , wound healing time and postoperative complications .Results The cure rate,time of operation,postoperative pain scores , wound healing time and postoperative complications in experiment group were better than those in the control group(P<0.05).Conclusion Automatic ligation of hemorrhoids possesses less pain ,high cure rate,high cure rate,improve hard of defecate ,and easy to popularize .