RPH串联套扎和M-M方法治疗环状脱垂性混合痔的对照研究  

A Matched Study between Automatic Ligation of Hemorrhoids and Milligan-Morgan Hemorrhoidectomy Intreatment of Mixed Hemorrhoids

作　　者：耿桂飞[1] 王绍臣[1] 刘伟[1] 徐厚兰[1] 兰满[1] 

机构地区：[1]杭州师范大学附属医院肛肠科,杭州市310015

出　　处：《中华全科医学》2013年第6期858-859,908,共3页Chinese Journal of General Practice

摘　　要：目的观察和评价自动痔疮套扎术(RPH)串联套扎和外剥内扎术(M-M)两种方法治疗环状脱垂性混合痔的临床效果、并发症发生率和复发率等情况。方法采用随机对照法将140例患者分为RPH组70例和M-M组70例。比较两组术后疼痛、出血、肛门坠胀感、肛缘水肿等并发症的发生率、治愈率和复发率。结果治疗后两组比较,RPH组并发症发生率和治愈率与M-M组比较有显著差异(均P<0.05),复发率无统计学意义(P>0.05)。结论对环状脱垂性混合痔患者行自动痔疮套扎术串联套扎治疗明显优于传统的外剥内扎术,提高治愈率,减少术后并发症发生率,其优势不仅切除痔核又悬吊脱垂的黏膜,对环状脱垂性混合痔治疗效果显著。Objective To compare the clinical efficacy,incidence of complications and recurrence rate of automatic ligation of hemorrhoids （RPH） and Milligan-Morgan hemorrhoidectomy （M-M） in the treatment of mixed hemorrhoids. Methods The ran- domized method was adapt to divide 140 patients with mixed hemorrhoids into two groups（ RPH and M-M） with 70 cases in each group. The incidence of complications such as pain, bleeding, sensation of tenesmus and edema of the anal margin, recovery rate and recurrence rate were compared between the two groups. Results The difference in the incidence of complications and recov- ery rate, but not recurrence rate, was statistical significant. Conclusion The automatic ligation of hemorrhoids is more effective in the treatment of circular mixed hemorrhoids as compared to the Milligan-Morgan hemorrhoidectomy, and can reduce the incidence of postoperative complication.

关 键 词：自动痔疮套扎术 外剥内扎术 混合痔 

分 类 号：R657.18[医药卫生—外科学]