直肠黏膜多级悬吊保留齿状线加外剥内扎术治疗环状混合痔临床观察

Multi-level Suspension for Rectal Mucosa, Dentate Line Preserved and External Dissection ＆amp; Internal Ligation in the Treatment of Circumferential Mixed Hemorrhoids

为了观察直肠黏膜多级悬吊保留齿状线加外剥内扎术治疗环状混合痔的临床疗效,将2014年10月至2015年10月,山东省临沂市中医医院肛肠科收治的60例环状混合痔患者,随机分为治疗组和对照组,每组各30例.治疗组采用直肠黏膜多级悬吊保留齿状线加外剥内扎术治疗,对照组采用传统环状混合痔外剥内扎术治疗.观察2组患者术后疗效、创面愈合时间、术后并发症及复发率情况.结果显示,2组患者总有效率均为100%,差异无统计学意义（P〉0.05）,但在术后疼痛、创面愈合时间、术后肛门狭窄、肛门失禁及复发情况方面,治疗组均优于对照组（P〈0.05）.结果表明,直肠黏膜多级悬吊保留齿状线加外剥内扎术治疗环状混合痔,具有低并发症、低后遗症、远期疗效较好的优势,是一种行之有效的手术方式.

This study was to observe the clinical effect of multi-level suspension for rectal mucosa, dentate line preserved and external dissection ＆ internal ligation in the treatment of circumferential mixed hemor- rhoids, randomly divided 60 cases of this hemorrhoids admitted and treated in authorsr department from Oct. 2014 to Oct. 2015 into treatment group and control one, 30 cases for each; performed above combina- tion surgery on the former, while routine external dissection ＆ internal ligation for this hemorrhoids on the latter; then observed postoperative effect, wound-surface healing time, postoperative complications, and recurrence status in both groups. As results, the total effective rates of two groups were the same, there was no statistical difference （100%, P 〉0.05）, but in postoperative pain, wound-surface healing time, anal stenosis and anal incontinence as well as recurrence the former was superior to the latter （ P〈0.05）. Results show that above-mentioned conbination surgery for circumferential mixed hemorrhoids has low incidence of complications, less sequela, and better long-term effect, thus is an effective procedure.