中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
31期
13-15
,共3页
中重度混合痔%RPH%外痔切除术%外剥内扎术
中重度混閤痔%RPH%外痔切除術%外剝內扎術
중중도혼합치%RPH%외치절제술%외박내찰술
Moderate and severe mixed hemorrhoids%RPH%External hemorrhoids resection%Milligan-Morgan
目的：探讨自动痔疮套扎术结合外痔切除治疗中重度混合痔的方法及临床效果。方法整群选取2013年3月-2015年2月期间该院收治的86例中重度混合痔患者随机分为对照组和观察组各43例，对照组采用传统外剥切内扎术治疗，观察组采用自动痔疮套扎术结合外痔切除术治疗，比较两组手术时间、术后疼痛、出血情况，临床疗效及术后并发症发生情况。结果两组手术时间比较差异无统计学意义(P>0.05)，术后疼痛、出血情况比较观察组明显低于对照组(P<0.05)。观察组痊愈率90.7%，总有效率100%，对照组痊愈率86.1%，总有效率97.7%，组间比较差异无统计学意(P>0.05)；术后并发症发生率组间比较差异无统计学意(P>0.05)。结论自动痔疮套扎术结合外痔切除术治疗中重度混合痔创伤小，可减轻患者痛苦，提高临床治疗效果，值得临床推广应用。
目的：探討自動痔瘡套扎術結閤外痔切除治療中重度混閤痔的方法及臨床效果。方法整群選取2013年3月-2015年2月期間該院收治的86例中重度混閤痔患者隨機分為對照組和觀察組各43例，對照組採用傳統外剝切內扎術治療，觀察組採用自動痔瘡套扎術結閤外痔切除術治療，比較兩組手術時間、術後疼痛、齣血情況，臨床療效及術後併髮癥髮生情況。結果兩組手術時間比較差異無統計學意義(P>0.05)，術後疼痛、齣血情況比較觀察組明顯低于對照組(P<0.05)。觀察組痊愈率90.7%，總有效率100%，對照組痊愈率86.1%，總有效率97.7%，組間比較差異無統計學意(P>0.05)；術後併髮癥髮生率組間比較差異無統計學意(P>0.05)。結論自動痔瘡套扎術結閤外痔切除術治療中重度混閤痔創傷小，可減輕患者痛苦，提高臨床治療效果，值得臨床推廣應用。
목적：탐토자동치창투찰술결합외치절제치료중중도혼합치적방법급림상효과。방법정군선취2013년3월-2015년2월기간해원수치적86례중중도혼합치환자수궤분위대조조화관찰조각43례，대조조채용전통외박절내찰술치료，관찰조채용자동치창투찰술결합외치절제술치료，비교량조수술시간、술후동통、출혈정황，림상료효급술후병발증발생정황。결과량조수술시간비교차이무통계학의의(P>0.05)，술후동통、출혈정황비교관찰조명현저우대조조(P<0.05)。관찰조전유솔90.7%，총유효솔100%，대조조전유솔86.1%，총유효솔97.7%，조간비교차이무통계학의(P>0.05)；술후병발증발생솔조간비교차이무통계학의(P>0.05)。결론자동치창투찰술결합외치절제술치료중중도혼합치창상소，가감경환자통고，제고림상치료효과，치득림상추엄응용。
Objective To explore the method and clinical effect of RPH and external hemorrhoids resection in the treatment of moderate and severe mixed hemorrhoids. Methods 86 patients with moderate and severe mixed hemorrhoids admitted from March 2013 to February 2015 were randomly divided into control group and observation group, each group of 43 cases. The control group used the traditional Milligan-Morgan, the observation group adopted RPH and external hemorrhoids re-section. And the duration of procedure, postoperative pain, incidence of bleeding, clinical efficacy and incidence of postop-erative complications were compared between the two groups. Results There was no significant difference in the duration of procedure between the two groups (P>0.05). The incidence of postoperative pain and bleeding of the observation group was significantly lower than that of the control group, respectively(P<0.05). There were no statistically significant differences be-tween the observation group and the control group in terms of the cure rate (90.7% vs 86.1%) and the overall response rate (100% vs 97.7%)(P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05). Conclusion For the treatment of moderate and severe mixed hemorrhoids, RPH combined with external hemorrhoids resection has small trauma, which can reduce the suffering and improve the clinical treatment effect, therefore it is worthy of clinical application and promotion.
