自动弹力线痔疮套扎器联合外痔切除术治疗混合痔的临床疗效分析

Analysis of Clinical Curative Effect of Automatic Ligation and External Hemorrhoid Resection in Treatment of Mixed Hemorrhoid

目的探讨自动弹力线痔疮套扎器联合外痔切除术治疗混合痔的临床疗效。方法方便选取2015年1月—2016年1月该院收治的混合痔患者208例,对其临床资料进行回顾性分析。其中102例患者采用外剥内扎术进行治疗,将其设定为对照组,其中106例患者采用自动痔疮套扎术联合外痔切除术进行治疗,将其设定为观察组,比较两组临床治疗总有效率,创面愈合时间以及并发症发生情况。结果观察组治疗后的治疗总有效率为98.11%,高于对照组的96.07%,但差异无统计学意义(P>0.05);观察组创面愈合时间为(12.14±1.14)d,短于对照组的(16.48±2.03)d,差异有统计学意义(P<0.05);且观察组的术后肛门疼痛(7.55%vs 18.63%),切缘水肿(6.60%vs 19.61%),以及便血发生率(11.32%vs 19.61%)均低于对照组,差异有统计学意义(P<0.05)。结论自动弹力线痔疮套扎器联合外痔切除术治疗混合痔的临床疗效显著,安全性高,值得在临床上推广应用。

Objective To study the clinical curative effect of automatic ligation and external hemorrhoid resection in treatment of mixed hemorrhoid.Methods 208 cases of patients with mixed hemorrhoid admitted and treated in our hospital from January 2015 to January 2016 were convenient selected and the clinical data were retrospectively analyzed and 102 cases in the control group were treated with automatic ligation,and 106 cases in the observation group were treated with automatic ligation and external hemorrhoid resection,and the total clinical treatment effective rate,wound healing time and occurrence of complications were compared between the two groups.Results After treatment,the total effective rate in the observation group was higher than that in the control group（98.11% vs 96.07%）,and the difference was not statistically significant（P〈0.05）,and the wound healing time was shorter than that in the control group [（12.14±1.14）d vs（16.48±2.03）d],and the difference was statistically significant（P〈0.05）,and the incidence rate of postoperative anus pains,incisal edge edema and hemafecia in the observation group were lower than that in the control group [（7.55% vs 18.63%）,（6.60% vs19.61%）,（11.32% vs 19.61%）],and the differences were statistically significant（P〈0.05）.Conclusion The clinical curative effect of automatic ligation and external hemorrhoid resection in treatment of mixed hemorrhoid is obvious with high safety,which is worth clinical promotion and application in clinic.