改良Milligan—Morgan术与RPH治疗环状混合痔的疗效比较  

Effect Comparison between Improved Milligan-Morgan Procedure and RPH in the Treatment of Circumferential Mixed Hemorrhoids

作　　者：李晖[1] 张吟秋[1] 张玲[1] 

机构地区：[1]江苏省扬州市妇幼保健院肛肠科,江苏扬州225000

出　　处：《中国肛肠病杂志》2015年第12期21-23,共3页Chinese Journal of Coloproctology

摘　　要：为探讨改良Milligan—Morgan术和RPH治疗环状混合痔的临床疗效，将38例环状混合痔患者随机分为两组，各19例，分别采用改良Milligan-Morgan术（MM组）和RPH（RPH组）治疗。比较两组总体疗效、术后并发症、住院时间、住院费用、创面愈合时间及患者满意度。结果显示，1）总体疗效：两组治愈率（均为94．7％）和复发率（均为5．3％）比较差异均无统计学意义，P〉0．05。2）术后并发症：RPH组术后肛门疼痛、下腹不适感发生率明显低于MM组，P〈0．05；两组肛缘水肿、尿潴留、肛门坠胀感、便血发生率比较差异均无统计学意义，P〉0．05。3）住院时间、住院费用及创面愈合时间：RPH组住院时间和创面愈合时间明显短于MM组，P〈0．05；但住院费用高于MM组，P〈0．05。4）RPH组术后患者满意度评分显著高于MM组，P〈0．05。结果表明，改良Milligan-Morgan术和RPH治疗环状混合痔总体疗效相当，各有优缺点，RPH术后并发症相对较少，术后恢复快，但费用稍高，临床可根据具体情况选择术式。This study was to investigate the clinical effect of Milligan-Morgan （MM） procedure and RPH for treating circumferential mixed hemorrhoids, randomly divided the 38 patients with this hemorrhoids into MM group and RPH group, n-=19 for each;two group＇s patients received MM procedure and RPH,respectively;then both group＇s following items such as whole effect,postoperative complication,hospitaliza-tion time, hospitalization cost, wound-surface healing time and patient＇s satisfactory degree, etc were compared.As results ,1） whole effect：the curative rate and recurrence rate of both groups were all 94.7% and 5.3%, respectively there was no statistical difference （ P 〉0.05） ;2）postoperative complication, in the incidence of anus-edge edema, uroschesis, anal tenesmus and hematochezia there was no statistical difference between both groups（ P 〉0.05） ,but in pain of anus and hypogastrium complaint sensation the incidence of RPH group was significantly lower than that of MM group（ P %0.05）;3）in the cost of hospitalization,the time for hospitalization and healing of wound-surface RPH group was significantly shorter than MM group （ P 〈0.05） ,but in the cost for hospitalization RPH group was higher than that in MM group （ P 〈0.05） 4）the score rating on patient＇s satisfactory degree in RPH group was significantly higher than that in MM group（ P 〈 0. 05 ）. Restuls show that for treating circumferential mixed hemorrhoids both procedure＇s effects are similar~ but each of above-mentioned two procedures has its merits and shortcomings, e. g through RPH has less postoperative complication and faster postoperative recovery, but higher medical cost ,thus ,it could be to choose procedure according to different conditions.

关 键 词：环状混合痔 改良Milligan-Morgan术 RPH 疗效 

分 类 号：R657.18[医药卫生—外科学]