手术联合外用中药治疗伴有混合痔的肛门瘙痒症和肛门湿疹  

Surgical management of pruritus ani and anal eczema with mixed hemorrhoids combined with topical Chinese medicine

作　　者：苏永红[1] 牟海萍[1] 王果[1] 马成[1] 石建新[1] 任玉蓉[1] 

机构地区：[1]山东省济南市槐荫区人民医院,济南250021

出　　处：《中国麻风皮肤病杂志》2009年第5期330-332,共3页China Journal of Leprosy and Skin Diseases

摘　　要：目的:评价手术联合外用中药治疗伴有混合痔的肛门瘙痒症和肛门湿疹的临床疗效。方法:伴有混合痔的肛门瘙痒症或肛门湿疹患者分别采用手术后加中药熏洗(A组)、皮损局部皮内注射亚甲蓝加中药熏洗(B组)和只用中药熏洗(C组)方法治疗。结果:A组治愈率(93.28%)显著高于B组(80.91%,P<0.01)和C组(45.01%,P<0.01)。治疗12个月后随访,A组复发率(7.81%)显著低于B组(61.71%,P<0.01)和C组(95.70%,P<0.01)。结论:采用手术联合中药局部熏洗治疗伴有混合痔的肛门瘙痒症和肛门湿疹是一种疗效满意、安全和复发率低的治疗方法。Objective： To evaluate the efficacy of surgery with Chinese medicine for the treatment of pruritus ani and anal eczema in mixed hemorrhoids （MH）. Method： A total of 331 MH patients with pruritus ani or anal eczema were rmldomly divided into group A, B and C. The group A was treated with surgical operation followed by topical Chinese medicine once a day for 2 weeks ; group B was treated with intradermal injection of methylene blue followed by topical Chinese medicine; group C was treated with topical Chinese medicine only. Results： The cure rates in group A, B and C were 93.28% （107/115）, 80.91% （89/110） and45.01% （47/106）, respectively. Compared between the three groups the cure rate in group A was significant higher than that in group B （ P 〈 0.01 ） and in group C （ P 〈 0.01 ）. After 12 months of treatment, the relapse rate in group A, B and C was 7.81%, 61.71% and 95.70%, respectively. The relapse rate in group A was significant lower than that in group B （ P 〈 0.01） and in group C （ P 〈 0.01）. Conclusion： Surgical operation in combination with topical Chinese medicine is a very effective, safe and low relapse treatment for pruritus ani and anal eczema in mixed hemorrhoids.

关 键 词：肛门瘙痒症 肛门湿疹 混合痔 手术 中药 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]