摘要
目的选择性自动结扎疗法(RPH)联合简化外切内扎术治疗混合痔的安全性和有效性。方法选择1 200例混合痔患者,按照随机、平行对照、多中心试验设计方法分为对照组和治疗组,每组600例,对照组采用痔上黏膜环切吻合术(procedure for prolapse and hemorrhoids,PPH)加简化外切内扎术,治疗组采用RPH+简化外切内扎术。观察患者术后并发症、手术时间、术后住院时间及术后随访疗效。结果与对照组比较,治疗组术后大出血、尿潴留、继发性肛裂和肛门直肠狭窄例数减少(P<0.01,P<0.05),手术时间和术后住院时间减少(P<0.01,P<0.05),术后3、12个月痊愈率升高(P<0.01)。结论 RPH联合简化外切内扎术治疗混合痔可以减少术后并发症,提高临床痊愈率和疗效。
Objective To observe the safety and efficacy of RPH with the simplified Milligan-Mor- gan（M-M） surgery on mixed hemorrhoids. Methods Totally 1 200 patients with mixed hemorrhoid were assigned to the control group（600 cases） and the treatment group（600 cases） according to randomized,parallel controlled,multi-center trial design. Patients in the control group received PPH with the simplified M-M surgery, and patients in the treatment group received RPH with the simplified M-M surgery. Postop- erative complications, operation time,the postoperative hospitalization days and the efficacy were ob- served. Results Compared with the control group, the numbers of postoperation hemorrhage, postop- erative uroschesis, anal fissure and anorectal stenosis in treatment group were decreased （P 〈0.01, P 〈 0.05）, operation time and the postoperative hospitalization days were decreased （P 〈0.01, P 〈0.05）, the cure rate for 3 and 12 months after operation were increased （P 〈 0.01, P 〈 0.05 ）. Conclusions RPH with the simplified M-M surgery could reduce the incidence of postoperative complications ,improve the clinical cure rate and the curative effect in treatment of mixed hemorrhoids.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2017年第4期422-425,共4页
Chinese Journal of Integrated Traditional and Western Medicine
基金
湖南省中医药科研计划资助项目(No.201503)
湖南省教育厅重点学科中医外科学开放基金项目(No.zywk-kf)
