改良外剥内扎结合消痔灵注射术与外剥内扎术治疗环状混合痔临床观察

The Clinical Observation of Mixed Circular Hemorrhoid by Improved Milligan-Morgan Operation Combined with Hemorrhoid Injection and the Single Operation

目的观察比较改良外剥内扎结合消痔灵注射术与外剥内扎术治疗环状混合痔的疗效。方法 120例环状混合痔患者随机分成两组,治疗组采用改良外剥内扎结合消痔灵注射术,对照组采用外剥内扎术,对比观察两组患者在切口愈合时间、肛缘水肿、肛门有无狭窄及复发率情况。结果治疗组的总有效率为96.67%,对照组的总有效率为90%。治疗组愈合天数为(11.6±3.0)d,对照组为(21.8±4.7)d。治疗组术后出现出血3例,水肿2例,复发率为3.33%,对照组术后出现出血4例,水肿23例,肛门狭窄6例,复发率为16.67%。结论改良外剥内扎结合消痔灵注射术优于传统的外剥内扎术。

Objective To observe the curative effect of mixed circular hemorrhoid treated by improved Milligan-Morgan operation combined with hemorrhoid injection and the single operation.Methods 120 cases of mixed circular hemorrhoid were divided into two groups： treatment group was treated by improved Milligan-Morgan operation combined with hemorrhoid injection,control group by single operation.Healing time,anus lip edema,anus narrow and relapse rate were compared.Results The total effective rate in the treatment group was 96.67%,in the control group was 90%;the healing days in treatment group was（11.6±3.0）days,in control group was（21.8±4.7）days.3 cases of hemorrhage,2 cases of edema,relapse rate 3.33% in the treatment group;4 cases of hemorrhage,23 cases of edema,6 cases of anal stenosis,relapse rate 16.67% in the control group.Conclusion Improved Milligan-Morgan operation combined with hemorrhoid injection is better than the single operation.