电极钳加内括约肌切断术对减少痔术后水肿的疗效  

Prophylaxis and treatment of edema after hemorrhoid operation with tongs of electrode and internal sphincterotomy

作　　者：王永杰[1] 林湘涛[1] 叶楠琴[1] 

机构地区：[1]浙江省舟山市人民医院肛肠科,316004

出　　处：《中华航海医学与高气压医学杂志》2003年第3期161-162,共2页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的　观察电极钳加内括约肌切断术对减少痔术后水肿的疗效。方法　将 336例混合痔患者随机分为电极钳加内括约肌切断组 (钳夹组 )、内括约肌切断组 (切断组 )和单纯外剥内切组 (常规组 )三组手术 ,然后观察痔术后水肿的发生率。结果　钳夹组、切断组和常规组的术后水肿发生率分别为13.5 6 %、2 7.0 3%和 6 1.6 8%。结论　三种手术方式对减少痔术后水肿方面差异有显著性 (P<0 .0 0 1) ,采用电极钳加内括约肌切断治疗混合痔 ,术后水肿的发生率最低。Objective To investigate the prophylaxis and treatment of edema after hemorrhoid operation with tongs of electrode and internal sphincterotomy.Methods 336 cases of patients with mixed hemorrhoids were randomly divided into three groups: tongs of electrode and internal sphincterotomy group(group of tongs),internal sphincterotomy group(group of severance) and simple external hemorrhoid stripper and internal hemorrhoid incision group(routine group).The incidence of edema was observed after hemorrhoid operation.Results The incidence of edema after operation in the group of tongs,the group of severance and the routine group were 13.56%,27.03% and 61.68%,respectively.Conclusions There were statistical difference( P <0.001) in edema prophylaxis and treatment after hemorrhoid operation among the three groups.The incidence of edema after operation was the lowest when mixed hemorrhoid was treated with tongs of electrode and internal sphincterotomy.

关 键 词：电极钳 内括约肌切断术 术后并发症 水肿 疗效 混合痔 手术方法 

分 类 号：R657.18[医药卫生—外科学]