急性环状嵌顿痔手术时机的选择与比较

A Comparative Study on the Optimal Operative Time and Therapeutic Results in the Treatment of Acute Circular Incarcerated Hemorroids

为探讨急性环状嵌顿痔手术的最佳时机，采用急诊手术外剥内扎并芍倍注射术治疗急性环状嵌顿痔156例，效果理想，疼痛缓解期为2．7d，平均住院天数为10．3d；采用先保守治疗再行手术治疗者120例，疼痛缓解期为4．5d，平均住院天数为17．8d。结果显示，环状嵌顿痔急症手术治疗具有痛苦小，疗程短，并发症少等优点。

In order to evaluate the optimal operative time,156 patients with acute circular incarcerated hemorrhoids underwent immediate surgical procedure of external decollement and internal ligation plus Shaobei solution injection（the study group）, the results of which were compared with those of 120 patients who un- derwent “conservative treatment first, then surgical intervention” （the controlled group）. As results, the pain-alleviating time was 2.7 days and the mean duration of hospital stay was 10.3 days in the study group against 4. 5 days and 17.8 days respectively in the controlled group. It is revealed that the immediate emergency treatment（surgical operation plus injection） has many stronger points as less pain,shorter treatment course, less complications, etc.