改良痔上黏膜缝扎修复术治疗Ⅲ度痔病临床研究  

Clinical study of improved suture-fixation operation for grade Ⅲ hemorrhoids

作　　者：翟敏 巫益珍 张永安 张旗 周峰 徐慧磊 

机构地区：[1]上海市浦东新区中医医院肛肠科,上海201299

出　　处：《上海中医药杂志》2015年第7期62-65,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委杏林新星计划培养项目(ZY3-RCPY-2-2069);上海市浦东新区卫生局青年基金项目(PW2012B-8);上海市浦东新区中医中青年骨干培养项目(PDZYXK-5-2014007)

摘　　要：目的观察改良痔上黏膜缝扎修复术治疗Ⅲ度痔病的临床疗效。方法将100例Ⅲ度痔病患者随机分为治疗组与对照组,每组50例。治疗组采用改良痔上黏膜缝扎修复术治疗,对照组采用外剥内扎术治疗。观察两组临床疗效及复发率,比较术后疼痛VAS评分、并发症、肛门功能评分及患者满意度的情况。结果 1治疗组、对照组总有效率均为100%,组间临床疗效差异无统计学意义(P>0.05)。2组间术后比较,疼痛VAS评分与住院时间差异有统计学意义(P<0.05)。3组间术后比较,继发出血情况差异有统计学意义(P<0.05)。4组间术后比较,肛门功能评分差异无统计学意义(P>0.05)。5组间术后2年间复发率比较,差异无统计学意义(P>0.05)。6组间术后2年满意度比较,差异有统计学意义(P<0.05)。结论改良痔上黏膜缝扎修复术治疗Ⅲ度痔病,可减少术后继发出血及疼痛,缩短患者住院时间,中期随访患者满意度较高。Objective To investigate the clinical efficacy of improved suture-fixation operation in treatment of grade III hemorrhoids. Methods 100 cases were randomly divided into treatment group（ suture-fixation operation,50 cases） and control group（ Milligan-Morgan hemorrhoidectomy,50 cases）. The clinical efficacy,recurrence rate,VAS score,anal function and the satisfaction of patients were observed between the two groups. Results 1 Total effective rate in the two groups were 100%,there was no statistic significance in clinical efficacy between the two groups（ P 0. 05） 2 In the comparison after the operation,there was statistic significance in VAS score and hospitalization time between the two groups（ P 0. 05）. 3In the comparison after the operation,there was statistic significance in secondary blooding between the two groups（ P 0. 05）. 4In the comparison after the operation,there was no statistic significance in anal function score between the two groups（ P 0. 05）. 5In the comparison during the time 2 years after the operation,there was no statistic significance in recurrence rate between the two groups（ P 0. 05）. 6In the comparison 2 years after the operation,there was statistic significance in patient satisfaction between the two groups（ P 0. 05）. Conclusion The improved suture-fixation operation in treatment of grade III hemorrhoids is valid in reducing secondary bleeding and pain,shortening hospitalization time,with relatively high satisfaction in the middle age follow-up.

关 键 词：痔病 Ⅲ度 痔上黏膜缝扎修复术 改良手术 继发出血 疼痛 满意度 

分 类 号：R266[医药卫生—中医外科学]