外剥内扎加内痔柱状缝扎悬吊术治疗环状混合痔的临床应用

External Dissection ＆ Circumferential Mixed Internal Ligation plus Columnar Suture ＆ Ligation and Suspension in the Treatment of Hemorrhoids

为了提高环状混合痔的疗效，减少术后并发症，治疗组60例采用外剥内扎术加内痔柱状缝扎悬吊术治疗，对照组60例行M—M术。治疗组在术中术后出血、疼痛、水肿、肛门溢液及愈合时间方面有显著疗效，均明显优于对照组。该术式可致肛管腔内呈现点与稍宽平面的比邻结合，有效缓解肛管的松弛程度，同时也缓解了肛门的下坠感及排便困难等问题，需要切除的肛管皮肤少，最大限度地保留了肛管皮肤，有较好的临床应用价值。

In order to enhance therapeutic effect and to reduce postoperative complication in the treatment of circumferential mixed hemorrhoids,the 60 patients were subjected to external dissection ＆ internal ligation plus columnar suture ＆ ligation and suspension,as treatment group;another 60 cases,as controlled group, to M-M procedure. In intra-and post-operative bleeding, pain, edema, anal exudation and healing time of wound treatment group was all superior to controlled group significantly. Above combined procedure can produce the specific proximal combination of appeared point with wider surface in anal canal, thus effectively relief the laxity extent of anal canal,at same time reduce the tenesmus of anus and defecation difficulty, ete; so that skin of anal canal to be resected become less,as possible as saving skin of anal canal. In a word, the procedure has better value of clinical application.