外切与外剥内扎硬注术治疗环状嵌顿痔疗效比较  

Efficacy Comparison of Two Operations in Internal Ligation Treatment for Circular Incarcerated Haemorrhoids

作　　者：王秦川 高红梅 刘琪峰 林谋斌[2] 

机构地区：[1]陕西省榆林市痔瘘医院肛肠科,榆林719000 [2]上海交通大学医学院附属瑞金医院肛肠科,上海200025

出　　处：《中国中西医结合外科杂志》2016年第3期232-234,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：上海市科研计划项目(12ZR1418800)

摘　　要：目的:对比外切与外剥内扎硬注术治疗环状嵌顿痔的疗效和并发症。方法:回顾性分析156例环状嵌顿痔患者的临床资料,78例接受外切内扎硬注术为A组,78例接受外剥内扎硬注术为B组,对比两组治疗前后的症状评分变化情况,对比两组术口愈合时间和并发症发生情况。结果:手术治疗后1个月,A组症状评分(0.07±0.32)分,B组(0.06±0.34)分(P>0.05);A组术口愈合时间(15.61±2.01)d,B组(18.58±2.81)d(P<0.05);两组术后1周便血、肛缘赘皮、肛门失禁、肛管狭窄发生率的对比,差异没有统计学意义(P>0.05)。A组术后1周肛门疼痛发生率7.69%,排尿困难发生率3.85%,肛缘水肿发生率3.85%,均显著低于B组(P<0.05)。结论:外切内扎硬注术治疗环状嵌顿痔具有良好的临床疗效,可有效缩短术口愈合时间,减少肛门疼痛、排尿困难等术后并发症的发生率。Objective To compare the efficacy and complications of the two therapeutics to the circular incarcerated hemorrhoids, by external excision and internal ligation and sclerotherapy, and by Milligan-Morgan operation and sclerosing agent injection.Methods Retrospective analysis on the clinical data of 156 circular incarcerated hemorrhoids patients was done, 78 cases received external excision and internal ligation and sclerotherapy as group A, and 78 cases received Milligan-Morgan operation and sclerosing agent injection as group B.The changes of symptom scores, wound healing time and incidence of complications of both groups before and af-ter treatment were observed and compared.Results One month after treatment, the symptom scores of the observation group and control group were（0.07 ± 0.32） and（0.06 ± 0.34）（P〉0.05）. The wound healing time of the observation group was significantly shorter than that of the control group（15.61 ± 2.01 vs 18.58 ± 2.81, P〈0.05）. The differences of the incidence of complications, including hemafecia in 1 week, perianal epicanthus, copracrasia and anorectal stenosis, between the two groups were not statistically significant（P〉0.05）. In the observation group, the incidence rates of anal pain, dysuresia and edema of anal margin were 7.69%, 3.85% and3.85%（P〈0.05）.Conclusion The combined treatment of external excision and internal ligation and sclerotherapy was effective for circular incarcerated hemorrhoids. It can effectively shorten the wound healing time andreduce the incidence of anal pain and dysuresia..

关 键 词：外切内扎硬注术 外剥内扎硬注术 环状嵌顿痔 

分 类 号：R657.18[医药卫生—外科学]