分段外剥内扎加外括约肌切开治疗环状痔的疗效观察  

Clinical Observation of Segmented External Dissection and Internal Ligation plus Sphincterotomy Skin Flap Suture in Treatment of Annular Mixed Hemorrhoids

作　　者：潘友珍[1] 甄金霞[1] 郑振麟 

机构地区：[1]上海市浦东新区公利医院肛肠科,上海200135

出　　处：《四川中医》2012年第3期96-98,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：浦东新区中医领军型人才项目资助(编号PWZI2009~05);浦东新区中医中青年骨干培养项目资助(编号PWZJ2010~04)

摘　　要：目的:探讨一种既能减轻环状痔术后常见并发症,又能防止术后肛门狭窄的新术式。方法:将100例环状混合痔患者随机分为分段外剥内扎+外括约肌单点浅切(治疗组n=50例)及分段外剥内扎(对照组n=50例),分别比较术后创面水肿疼痛、愈合时间、继发感染、肛门狭窄、肛门失禁、手术效果的自我评价等指标。结果:肛门疼痛积分情况、水肿积分情况、伤口愈合时间、肛门狭窄情况、手术效果自我评价等指标均优于对照组(P均<0.05),两组均无肛门失禁病例,组间的继发感染差异无统计学意义(P>0.05)。结论:该手术方法安全性好,操作简单,只要掌握好切开技巧,是一种值得推广的好方法。To study a new operation ways on reducing postoperative complications, preventing postoperative anal stenosis and anal incontinence. Methods： The patients were randomly divided into segmented external dissection group, internal ligation plus sphincterotomy group, skin flap suture group （ treatment group n=50）, segmented external dissection group and internal ligation group （ control group n = 50）. Occurrence of pain and edema, wound healing time, secondary infection, anal stenosis, anal incontinence, skin tag residue, evaluation of the effectiveness of surgery. Results ： Occurrence of pain and edema, wound healing time, anal stenosis, skin tag residue, evaluation of the effectiveness of surgery was better than that of the control group （P〈O. 05）, there were no patients with anal incontinence and secondary infection between two groups had no statistical signifi- cance （P〉O. 05）. Conclusion ： The operative method is characterized by safety effectiveness and simple operation, has provided easy skills, it is worth popularizing.

关 键 词：环状痔 外剥内扎 外括约肌单点浅切 皮瓣缝合 

分 类 号：R657.18[医药卫生—外科学]