医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
22期
3038-3039,3042
,共3页
周方敏%冯强%姚勇%杨卫
週方敏%馮彊%姚勇%楊衛
주방민%풍강%요용%양위
改良外剥内扎术%环状混合痔%效果
改良外剝內扎術%環狀混閤痔%效果
개량외박내찰술%배상혼합치%효과
Improved external dissection and internal ligation%Circumferencial mixed hemorrhoid%Efficacy
目的：探讨改良外剥内扎术治疗环状混合痔的临床效果。方法：选择2013年1月－2015年1月60例环状混合痔患者，随机分为对照组和观察组各30例。对照组采用常规外剥内扎术，观察组采用改良外剥内扎术。观察两组疗效、手术时间、术中出血量、住院时间，记录术后6h 、12h 、24h 视觉模拟评分（VAS 评分）和术后并发症。结果：观察组治愈率为96．67％，明显高于对照组的80．00％（P＜0．05）。观察组手术时间、术中出血量和住院时间显著少于对照组（P＜0．05）。观察组术后12h 、24h VAS 评分明显低于对照组（P＜0．05）。观察组不良反应发生率为20．00％，显著低于对照组的50．00％（P＜0．05）。结论：改良外剥内扎术治疗环状混合痔临床疗效优。
目的：探討改良外剝內扎術治療環狀混閤痔的臨床效果。方法：選擇2013年1月－2015年1月60例環狀混閤痔患者，隨機分為對照組和觀察組各30例。對照組採用常規外剝內扎術，觀察組採用改良外剝內扎術。觀察兩組療效、手術時間、術中齣血量、住院時間，記錄術後6h 、12h 、24h 視覺模擬評分（VAS 評分）和術後併髮癥。結果：觀察組治愈率為96．67％，明顯高于對照組的80．00％（P＜0．05）。觀察組手術時間、術中齣血量和住院時間顯著少于對照組（P＜0．05）。觀察組術後12h 、24h VAS 評分明顯低于對照組（P＜0．05）。觀察組不良反應髮生率為20．00％，顯著低于對照組的50．00％（P＜0．05）。結論：改良外剝內扎術治療環狀混閤痔臨床療效優。
목적：탐토개량외박내찰술치료배상혼합치적림상효과。방법：선택2013년1월－2015년1월60례배상혼합치환자，수궤분위대조조화관찰조각30례。대조조채용상규외박내찰술，관찰조채용개량외박내찰술。관찰량조료효、수술시간、술중출혈량、주원시간，기록술후6h 、12h 、24h 시각모의평분（VAS 평분）화술후병발증。결과：관찰조치유솔위96．67％，명현고우대조조적80．00％（P＜0．05）。관찰조수술시간、술중출혈량화주원시간현저소우대조조（P＜0．05）。관찰조술후12h 、24h VAS 평분명현저우대조조（P＜0．05）。관찰조불량반응발생솔위20．00％，현저저우대조조적50．00％（P＜0．05）。결론：개량외박내찰술치료배상혼합치림상료효우。
Objective :To investigate the efficacy of improved external dissection and internal ligation for circumferen‐cial mixed hemorrhoid .Methods :60 cases of circumferencial mixed hemorrhoid ,selected from January 2013 to January 2015 ,were randomly divided into the control group and the observation group with 30 cases in each group .The control group was given conventional external dissection and internal ligation ,and the observation group received modified ex‐ternal dissection and internal ligation .The efficacy ,operative time ,blood loss ,hospital stay were observed in the two groups ,and visual analogue scale (VAS score) at postoperative 6h ,12h ,24h as well as postoperative complications were recorded .Results :The cure rate in the observation group was 96 .67% , which was significantly higher than that (80.00% )in the control group(P< 0 .05) .The operative time ,blood loss ,hospital stay in the observation group were significantly less than those in the control group(P < 0 .05) .VAS scores at postoperative 12h ,24h in the observation group were significantly lower than those in the control group(P < 0 .05) .Adverse reactions rate in the observation group was 20 .00% ,which was significantly lower than that(50 .00% )in the control group(P< 0 .05) .Conclusion :Im‐proved external dissection and internal ligation for circumferencial mixed hemorrhoid had superior efficacy .
