外剥内扎注射加后位纵切横缝术治疗环状混合痔  

External Dissection,Internal Ligation ＆ Injection plus Posterior Vertical Incision ＆ Horizontal Suture in the Treatment of Circumferential Mixed Hemorrhoids

作　　者：张孟林[1] 

机构地区：[1]四川省宜宾市第一人民医院肛肠科,四川宜宾644000

出　　处：《中国肛肠病杂志》2006年第3期46-47,共2页Chinese Journal of Coloproctology

摘　　要：为评价外剥内扎注射加后位纵切横缝术治疗环状混合痔的疗效，采用外剥内扎注射加后位纵切横缝术（观察组）治疗环状混合痔50例，并与外剥内扎注射术（对照组）治疗环状混合痔50例进行对比观察。结果显示，观察组总有效率96％，平均疗程（17．0±3．6）d，术后Ⅱ，Ⅲ度疼痛44例，出血1例，肛门水肿2例，复发3例。对照组总有效率86％，平均疗程（24．0±4．5）d，术后Ⅱ，Ⅲ度疼痛47例，出血8例，肛门水肿15例，肛门狭窄11例，复发10例。结果表明，外剥内扎注射加后位纵切横缝术治疗环状混合痔具有疗效确切、复发率低、术后并发症少、无肛门狭窄等优点，是治疗环状混合痔较为理想的术式。The objective of the study was to evaluate the therapeutic effect of the procedure of external dissection,internal ligation ＆ injection plus posterior vertical incision ＆ horizontal suture in the treatment of circumferential mixed hemorrhoids were divided equally into two groups. Cases in the study group underwent external dissection,internal ligation ＆injection plus posterior vertical incision ＆ horizontal suture, while cases in the control group underwent external dissection, internal ligation and injection only. The therapeutic results were compared. As results in the study group,the general effective rate was 96%, the average treatment course was （17.0±3.6） days,postoperative pain （ Ⅱand Ⅲdegrees） was noticed in 44 cases, postoperative bleeding was found in 1 case,postoperative edema was noticed in 2 cases and recurrence was found in 3 cases. As results in the control group,the general effective rate was 86% ,the average treatment course was （24.0±4. 5） days,postoperative pain （ Ⅱ and Ⅲ degrees） was noticed in 47 cases,postoperative bleeding was found in 8 cases,postoperative edema was noticed in 15 cases,anal stricture occurred in 11 cases,and recurrence was found in 10 cases. It is suggested that the procedure of external dissection,internal ligation ＆ injection plus posterior vertical incision ＆ horizontal suture in the treatment of circumferential mixed hemorrhoids is better in terms of reliable therapeutic effect,lower recurrence rate,less postoperative complication, no anal stricture, etc.

关 键 词：痔 外剥内扎注射术 纵切横缝术 

分 类 号：R657.18[医药卫生—外科学] R657.14[医药卫生—临床医学]