外剥内剪切结扎术治疗多发混合痔90例分析

Hemorrhoidectomy using divest and scissors excisionligation technique for treatment of mixed hemorrhoid:A report of 90 cases

目的:探讨一种合理的治疗多发混合痔的手术方法,以减少术后并发症的发生。方法:180例混合痔患者随机分为治疗组和对照组,治疗组采用外剥内剪切结扎法,对照组采用传统的外切内扎术。观察术后并发症及疗程。结果:治疗组疗程平均为16.68天,对照组为24.63天。术后并发症第1天总评分:治疗组2.78±1.46,对照组6.5±1.62(P<0.01);第5天总评分:治疗组1.28±1.11,对照组5.32±1.22(P<0.01)。结论:外剥内剪切结扎术操作简单,较传统外切内扎术疗程短,并发症发生率低。

Objective ：To investigate the effect of surgical therapy for mixed hemorrhoid and to find a way to decrease post-surgery complication. Methods： One hundrend and eighty patients with severe mixed hemorrhoids were randomly assigned to receive hemorrhoidectomy using divest and scissors excision-ligation technique or Milligan-Morgan hemorrhoidectomy. Post-surgery complications and duration of treatment were recorded. Results： The average treatment time was 16.68 days in group one, and 24.63 days in group two. The total score of the first day post-surgery complication was 2.78 ± 1.46 in group one,and 6.5 ± 1.62 in group two （P 〈0.01 ）. The total score of the fifth day post-surgery complication was 1.28 ± 1.11 in group one, and 5.32 ± 1.22 in group two（P 〈 0.01 ）. Conclusions：Hemorrhoidectomy using divest and scissors excision-ligation technique is easy to operate, with the advantages of a shorter length of hospital stay and a lower complication rate.