急诊手术与择期手术治疗嵌顿痔疗效对比研究

Comparison on the Therapeutic Efficacy of Emergency Operation and Scheduled Operation in the Treatment of Incarcerated Hemorrhoids

为比较急诊于术治疗与水肿消退后择期手术治疗嵌顿痔的临床疗效，我们对急诊手术治疗（37例，手术前后采用硫酸镁甘油湿敷）和水肿消退后择期手术治疗（35例）的嵌顿痔患者术后情况及治疗效果进行比较。结果显示，急诊手术治疗组和水肿消退后择期手术治疗组住院时间分别为（10．4±1．7）d和（12．5±2．0）d，两组比较差异有统计学意义，t=-4．839，P=0．000。两组患者治疗效果、并发症及复发情况均无明显差异。结果表明，急诊手术治疗嵌顿痔能明显减少住院时间。

The objective of this study was to compare the curative effect of emergency operation with scheduled operation after edema resolution for incarcerated hemorrhoids,the seventy two patients with incarcerated hemorrhoids were randomized into two groups, 37 cases underwent emergency operation（Magne sium Sulfate Glycerin was wet dressed on the hemorrhoids pre- and postoperatively, as group A）,while other 35 cases underwent the scheduled surgical operation when the edema resolution（group B）. As resuits,hospital stay in group A and group B was （10.4±1.7）days and （12.5±2.0）days respectively,there was statistical significance in two groups（ t = 4. 839, P = 0. 000）;there was no notable difference in therapeutic efficacy,complication incidence and recurrence between the two groups. It is revealed that emergency operation can ensure a significant reduction in hospital stay.