中重度混合痔2种手术治疗方法比较  

Comparison of two surgeries in treating moderate to severe mixed hemorrhoids

作　　者：席向阳 XI Xiangyang(Department of Anorectal Surgery,Gongyi Ruikang Hospital of Henan Province,Gongyi,Henan,451200)

机构地区：[1]河南省巩义瑞康医院肛肠外科,河南巩义451200

出　　处：《实用临床医药杂志》2020年第23期59-61,共3页Journal of Clinical Medicine in Practice

基　　金：国家自然科学基金项目(81473689)。

摘　　要：目的比较传统内扎外切术与自动痔疮套扎联合外切术治疗中重度混合痔患者的临床疗效。方法选择中重度混合痔患者92例作为研究对象,采用随机数字表法将其分为研究组和对照组,每组46例。对照组采用传统内扎外切术治疗,研究组采用自动痔疮套扎联合外切术治疗。比较2组患者的手术相关指标、临床疗效和术后并发症发生率。结果研究组手术时间、创口愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05);研究组术中出血量少于对照组,差异有统计学意义(P<0.05);研究组临床治疗总有效率为95.65%,高于对照组的80.43%,差异有统计学意义(P<0.05);研究组总并发症发生率为23.91%,低于对照组的54.35%,差异有统计学意义(P<0.05)。结论自动痔疮套扎联合外切术治疗中重度混合痔的疗效更佳,具有微创、并发症少的优点。Objective To investigate the clinical effect of traditional internal ligation as well as external exlising and automatic hemorrhoid ligation combined with external excision in the treatment of moderate to severe mixed hemorrhoids.Methods A total of 92 patients with moderate to severe mixed hemorrhoids were selected,and were divided into study group and control group according to the random number table method.The control group(n=46)was treated with traditional internal ligation as well as external exlising,and the study group was treated with automatic hemorrhoids ligation combined with external resection.The related indexes,clinical effect and complication rate were compared between the two groups.Results The operative time,wound healing time and hospitalization time of the study group were significantly shorter than those of the control group,the amount of intraoperative bleeding in the study group was significantly less than that in the control group(P<0.05).The total effective rate of clinical treatment in the study group was 95.65%,which was significantly higher than 80.43%in the control group(P<0.05).The total complication rate of the study group was 23.91%,which was significantly lower than 54.35%of the control group(P<0.05).Conclusion Automatic hemorrhoid ligation combined with external resection for moderate and severe mixed hemorrhoids has remarkable curative effect,and it has minimal invasion,and less complications.

关 键 词：中重度混合痔 传统内扎外切术 自动痔疮套扎 并发症 

分 类 号：R657.1[医药卫生—外科学] R61[医药卫生—临床医学]