减张术式预防混合痔术后水肿的应用研究  

Prevention of postoperation anal edema in hemorrhoids surgery by reducing tension incision

作　　者：张欣宇[1] 李华山[2] 安少雄[1] 

机构地区：[1]北京市二龙路医院(北京市肛肠医院)肛肠科,100011 [2]中国中医科学院广安门医院肛肠科

出　　处：《北京医学》2017年第1期65-66,69,共3页Beijing Medical Journal

摘　　要：目的观察减张术式对混合痔术后肛缘水肿的防治。方法将120例混合痔患者随机分为试验组和对照组,其中试验组62例,采用减张术式合外剥内扎术,对照组58例采用外剥内扎术。对两组患者的疗效及术后2 d、3 d、7 d的肛缘水肿情况进行观察。结果两组患者的临床疗效差异无统计学意义(P>0.05),说明两种手术方式对混合痔的治疗有效。对肛缘水肿情况统计显示差异有统计学意义,并且试验组的肛缘水肿发生率低于对照组。结论减张术式在预防混合痔术后肛缘水肿方面具有一定的优势,值得临床采用。Objective To observe the effect of reducing tension incision operation for mixed hemorrhoids on postoperative edema. Methods 120 cases were randomly divided into two groups, 62 cases were in the treatment group, applying reducing tension incision with Milligan-Morgan, 58 cases were in the control group, applying Milligan-Morgan. The curative effect and postoperative anal edema in 2d, 3d and 7d were observed for the two groups. Results The curative effect of the two groups was no significantly different（P〉0.05）. However, the postoperative edema of the two groups was significantly different （P〈0.05）. Conclusion Reducing tension incision has advantages in the prevention of edema in mixed hemorrhoids patients.

关 键 词：减张术式 混合痔术后 肛缘水肿 

分 类 号：R657.18[医药卫生—外科学]