痔核切除联合痔上直肠黏膜切除治疗重度内痔临床分析

Hemorrhoids hemorrhoid excision with resection of the rectal mucosa,clinical analysis of severe hemorrhoids

目的:探讨痔核切除联合痔上黏膜切除治疗重度内痔的临床效果。方法:124例Ⅲ、Ⅳ期内痔患者,诊断明确后分为治疗组及对照组,每组各62例,对照组采用常规痔核切除方法手术治疗,治疗组采用痔核切除联合痔上直肠黏膜切除,比较两组患者手术时间、术后并发症发生率,并随访1年,观察两组患者复发率。结果:治疗组手术时间长于对照组,两组患者术后并发症发生率差异无统计学意义,治疗组术后复发率低于对照组。结论:痔核切除联合痔上直肠黏膜切除能够提高重度内痔治疗效果、减少复发,手术安全,适合临床应用。

Objective：To investigate the clincal effect of ecising to haemorrhoids combinating tunica mucosa recti on severe internal hemorrhoid.Methods：124 cases patiens with internal hemorrhoid that was Ⅲ and Ⅳ stage were divided into treatment group and control group,that was 62 patients in each group,the patients recived operations with ecision of haem orrhoids in control groups and ecision of haemorrhoids combinating tunica mucosa recti,time of operation and ratio of complication were observed,all patients received following-up visiting in a year and relapse rate were contrasted.Results：In comparison with control group,time of operation was longer,ratio of complication was identical and relapse rate was low er in treatment group.Conclusion：Ecision of haemorrhoids combinating tunica mucosa recti on severe internal hemorrhoid could improved therapeutic efficacy and decreased relapse in severe internal hemorrhoid,operation was safe and adapted to clinical application.