CAJ | 학술논문

目的：对双开环TST联合内扎外剥术在混合痔中的治疗效果进行调查。方法整群选择该院2014年1月—2015年1月间68例混合痔患者,将所有患者分为两组,对照组患者采用单纯内扎外剥治疗,实验组患者采用双开环TST联合内扎外剥术进行治疗,对两组患者的治疗效果进行比较。结果两组患者术后均存在疼痛表现,实验组患者有21例便秘、5例感染、11例排便困难、12例排尿困难、9例肛门水肿病例；对照组患者有34例疼痛、19例便秘、7例感染、27例排便困难、20例排尿困难、18例肛门水肿病例,两组患者比较差异有统计学意义(P﹤0.05)。实验组患者治疗后三个月疾病复发率为2.94%；对照组为17.64%,两组患者比较差异有统计学意义(P﹤0.05)。实验组疼痛分级为Ⅰ级的14例,Ⅱ级的19例,Ⅲ级的1例；对照组患者疼痛分级为Ⅰ级的7例,Ⅱ级的20例,Ⅲ级的7例,两组比较差异有统计学意义(P﹤0.05)。实验组患者排便困难分级、疼痛分级、肛门水肿分级情况均要明显好于对照组,两组比较差异有统计学意义(P﹤0.05)。结论双开环TST联合内扎外剥术在混合痔中的治疗效果非常显著,能够减轻患者痛苦。
목적：대쌍개배TST연합내찰외박술재혼합치중적치료효과진행조사。방법정군선택해원2014년1월—2015년1월간68례혼합치환자,장소유환자분위량조,대조조환자채용단순내찰외박치료,실험조환자채용쌍개배TST연합내찰외박술진행치료,대량조환자적치료효과진행비교。결과량조환자술후균존재동통표현,실험조환자유21례편비、5례감염、11례배편곤난、12례배뇨곤난、9례항문수종병례；대조조환자유34례동통、19례편비、7례감염、27례배편곤난、20례배뇨곤난、18례항문수종병례,량조환자비교차이유통계학의의(P﹤0.05)。실험조환자치료후삼개월질병복발솔위2.94%；대조조위17.64%,량조환자비교차이유통계학의의(P﹤0.05)。실험조동통분급위Ⅰ급적14례,Ⅱ급적19례,Ⅲ급적1례；대조조환자동통분급위Ⅰ급적7례,Ⅱ급적20례,Ⅲ급적7례,량조비교차이유통계학의의(P﹤0.05)。실험조환자배편곤난분급、동통분급、항문수종분급정황균요명현호우대조조,량조비교차이유통계학의의(P﹤0.05)。결론쌍개배TST연합내찰외박술재혼합치중적치료효과비상현저,능구감경환자통고。
Objective To investigate the clinical effect of double open-loop TST combined with internal ligation and external dissection on mixed hemorrhoids. Methods 68 cases with mixed hemorrhoids admitted in the hospital from January 2014 to January 2015 were selected and divided into two groups, the control group and the experimental group. The control group was given internal ligation and external dissection, and the experimental group was given double open-loop TST combined with internal ligation and external dissection. And the treatment effects of these two groups were compared. Results Both groups had postoperative pain. In the experimental group, there were 21 cases with constipation, 5 cases with infection, 11 cases with difficult defecation, 12 cases with dysuria, 9 cases with anal edema, and in the control group, there were 34 cases with pain, 19 cases with constipation, 7 cases with infection, 27 cases with difficult defecation, 20 cases with dysuria, 18 cases with anal edema, with significant differences between the two groups, P<0.05. Three months after the treatment, the relapse rate of the experimental group was 2.94%, and that of the control group was 17.64%, with significant difference between groups, P<0.05. In the experimental group, there were 14 cases with gradeⅠpain, 19 cases with grade Ⅱpain, 1 case with grade Ⅲ pain; and in the control group, there were 7 cases with grade Ⅰ pain, 20 cases with grade Ⅱ pain, 7 cases with grade Ⅲ pain, with significant difference between the two groups, P<0.05. The grades of difficult defecation, pain, anal edema in the experimental group were all significantly better than those in the control group, with significant differences, P<0.05. Conclusion For patients with mixed hemorrhoids, double open-loop TST combined with internal ligation and external dissection can reduce the suffering with significant effect.