改良外剥内扎术加硬化剂注射治疗混合痔30例临床观察

The Improved Procedure of External Hemorrhoid Dissection and Internal Hemorrhoid Ligation plus Sclerosing Agent Injection in the Treatment of Mixed Hemorrhoids： Analysis of 30 Cases

为观察改良外剥内扎术加硬化剂注射治疗混合痔的疗效及减少并发症的效果，将60例混合痔随机分成两组，治疗组30例采用改良外剥内扎术加硬化剂注射，对照组30例采用传统外剥内扎术。治疗组可以明显减轻术后创口疼痛、创面水肿、排尿排便困难、肛门不适等并发症，缩短愈合时间和住院时间。结果表明，改良外剥内扎术加硬化剂注射治疗混合痔具有痛苦小、并发症少、疗程短、疗效好等优点。

The objective of this study was to observe the therapeutic outcome of the improved procedure of external hemorrhoid dissection and internal hemorrhoid ligation plus sclerosing agent injection （EHDIHLSI） in the treatment of mixed hemorrhoids. Sixty patients with mixed hemorrhoids were randomized evenly into two groups. Thirty patients underwent EHDIHLSI procedure（the trial group）,while the other 30,the traditional external hemorrhoid dissection and internal hemorrhoid ligation only（the control group）. As results,less postoperative pain,milder wound edema, less dysuria and dysporia and milder anal discomfort were seen in the trial group, and the wound healing course and hospital stay duration were shortened in the trial group,too. It is concluded that EHDIHLSI has the strong points of less pain,less complications,shorter treatment course and better therapeutic results.