嵌顿痔分类治疗的临床疗效评价  

An Evaluation on the Clinical Effect of Classified Treatment for Incarcerated Hemorrhoids

作　　者：保勇[1] 胡新亚[1] 杨三选[1] 张成靖 黄莹[1] 

机构地区：[1]云南省曲靖市第一人民医院中医痔瘘科,云南曲靖655000

出　　处：《中国肛肠病杂志》2016年第1期17-18,共2页Chinese Journal of Coloproctology

摘　　要：为提高嵌顿痔的手术治愈率，降低术后并发症，将嵌顿痔分为2类，根据嵌顿痔手法复位后外痔的形态分为外痔分界水肿型嵌顿痔和外痔环状水肿型嵌顿痔，选取48例嵌顿痔患者，按上述分类分别采用保守治疗后择期手术和急诊手术治疗（治疗组）；53例行急诊手术治疗（对照组）。结果对照组53例中，一次性治愈30例（56．6％），残留皮赘23例（43．4％），二次手术治愈，轻度肛管狭窄2例（3．8％）；治疗组48例中，一次性治愈41例（85．4％），残留皮赘7例（14．6％），二次手术治愈，无肛管狭窄者。结果表明，治疗组治疗方法具有疗效好，术后并发症少等优点。In order to enhance the surgical curative rate of incarcerated hemorrhoids, to reduce its postoperative complication incidence,author＇s department divided this hemorrhoids into 2 classes according to the forms of external hemorrhoids after manual reduction of incarcerated hemorrhoids：demarcati0n edema type and circle-like edema type, selected 48 incarcerated hemorrhoids cases, according to above class, adopted respectively conservative treatment then selective operation and emergency operation（treatment group）;53 cases emergency operation （control group）.As results,in control group among all patients（53 cases）, 30 were primarily cured（56.6%）,23 （43.4%） suffered from residual skin-tag then cured through secondary surgery,besides,2（3.8%） had mild anus stenosis;in treatment group,among all patients（48 cases） respectively was 41 （85.4 %）, 7 （14.6 %）, secondary surgery cured without anus stenosis. Results show that the therapy used in treatment group has good effect,and less postoperative complication.

关 键 词：嵌顿痔 保守治疗 手术治疗 

分 类 号：R657.18[医药卫生—外科学]