RPH结合痔动脉区消痔灵注射术与PPH治疗混合痔的对照研究  

A Case-Control Study on RPH Combined with Xiaozhiling Injection in Hemorrhoids Artery Area and PPH in Treatment of Mixed Hemorrhoids

作　　者：郑少康[1] 杜刚毅[1] 林锡芬[1] 赖庆勇[1] 杨茜湄[1] 

机构地区：[1]广州中医药大学附属中山医院

出　　处：《按摩与康复医学》2016年第15期31-33,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：中山市科技计划项目,编号:20132A186

摘　　要：目的：探讨痔上粘膜套扎（RPH）结合痔动脉区消痔灵注射术和PPH治疗混合痔的临床疗效。方法：将100例病人随机分为治疗组和对照组各50例，治疗组采用RPH结合痔动脉区消痔灵注射术治疗混合痔，对照组采用痔上粘膜环切术（PPH）治疗混合痔，治疗后观察其治愈率，术后疼痛，尿潴留，肛门狭窄等指标，评价其治疗效果。结果：两组在治愈率的差异无统计学意义（P〉0.05）；治疗组术后疼痛VAS评分显著低于对照组，差异有统计学意义（P〈0.05）；在术后并发症方面，治疗组优于对照组，差异有统计学意义（P〈0.05）。结论：RPH结合痔动脉区消痔灵注射术临床效果确切，痛苦轻，并发症少，可取代PPH手术。Objective：To investigate the efficacy of RPH combined with Xiaozhiling injection in hemorrhoids artery area and PPH in the treatment of mixed haemorrhoids. Methods：100 cases of patients with mixed haemorrhoids were randomly divided into treatment group （50 cases） and control group （50 cases）, the treatment group treated by RPH combined with Xiaozhiling injection in hemorrhoids artery area, while control group by PPH, observed the indexes of cured rate, postoperative pain, retention of urine and anal stenosis after treatment to evaluate the efficacy. Results：There was no statistical difference between the cured rates of two groups （P〉0.05）;the VAS score for postoperative pain of treatment group was significantly lower than that of control group ,which had statistical difference （P〈0.05）;in the aspect of postoperative complications, the treatment group was bet-ter than control group which had statistical difference （P〈0.05）. Conclusion：The treatment of RPH combined with Xiaozhiling injection in hemor-rhoids artery area has a great curative effect, and its slight pain and few complications makes it can replace the PPH.

关 键 词：混合痔 痔上粘膜套扎 痔动脉区 消痔灵注射术 痔上粘膜环切术 

分 类 号：R657.18[医药卫生—外科学]