外剥内扎术联合美辛唑酮栓治疗混合痔Ⅲ期的临床研究  

Clinical study of Milligan-Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲ

作　　者：朱福清 

机构地区：[1]灵山人民医院胃肠外科,广西535400

出　　处：《中国临床新医学》2014年第1期20-22,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西钦州市科学技术局科技攻关课题(编号:20122116)

摘　　要：目的：观察应用外剥内扎术联合美辛唑酮栓治疗混合痔Ⅲ期的临床效果。方法选择该院肛肠外科2012-01～2013-03住院的混合痔Ⅲ期患者60例，将患者随机分为治疗组和对照组，对照组30例采用常规手术治疗。治疗组30例，在常规治疗的基础上直肠腔置美辛唑酮栓1枚，术后第1天开始换药时将美辛唑酮栓塞入肛内。观察两组患者术后治疗效果。结果治疗组疗效优于对照组（P＜0.05），治疗组住院天数短于对照组（P＜0.01），治疗组的疼痛、水肿、坠胀、出血程度均低于对照组（P＜0.05或P＜0.01）。结论混合痔Ⅲ期应用外剥内扎术联合美辛唑酮栓治疗，解决了术后镇痛、恢复时间长、并发症多等问题，值得临床推广使用。Objective To explore the clinical effect of application of Milligan-Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲ.Methods From January 2012 to March 2013,60 patients with mixed hemarhoid at stage Ⅲ were randomly divided into two groups（30 cases in each group）.The patients in the control group received routine operation therapy .On the basis of above therapy ,the patients in the treatment group were given indometacin and furazolidone suppository , putting one suppository into the rectal cavity at the end of operation, and then one into anus when exchanging the dressing on the first postoperative day .The therapeutic effects were observed in two groups .Results The therapeutic effets in the treatment group were superior to those in the control group （ P〈0.05 ） and the average hospitalization days in the treatment group were shorter than those in the control group （ P〈0.01 ） .The severity degrees of compications （ pain, anal bulge sense , edema and hemorrhage ） in the trentacant group were milder than those in the control group （ P〈0.05 or P〈0.01 ） .Conclusion The application of milligan Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲsolves the problem of postoperative an-algesia,long recovery time and more complications ,and is worthy of clinical use .

关 键 词：混合痔Ⅲ期 外剥内扎术 美辛唑酮栓 

分 类 号：R657.18[医药卫生—外科学]