内痔自动痔套扎术加外痔切除术治疗混合痔139例临床观察

Clinical Observation on the Therapeutic Efficacy of Ruiyun Procedure for Internal Hemorrhoids Plus Resection of External Hemorrhoids：Analysis of 139 Cases

为观察和评价内痔自动痔套扎术（RPH）加外痔切除术治疗混合痔的临床疗效，回顾采用内痔RPH加外痔切除术治疗的139例混合痔患者（治疗组）资料，并与同期单纯采用外剥内扎术治疗的129例混合痔患者（对照组）疗效进行对比分析。结果显示，治疗组治愈率（91．4％，127／139）明显高于对照组（85．3％，110／129），P〈0．05。治疗组手术时间、创面愈合时间均明显短于对照组，P〈0．05。治疗组术后肛门疼痛、便血消退时间明显短于对照组，P〈0．05；两组肛门坠胀感消退时间差异无统计学意义，P〉0．05。结果表明，内痔RPH加外痔切除术治疗混合痔治愈率高，操作简便，患者痛苦小，是一种理想的术式。

The objective of the study was to observe and evaluate the clinical therapeutic efficacy of Ruiyun procedure for internal hemorrhoids plus resection of external hemorrhoids（RPH plus REH） in the treatment of mixed hemorrhoids. The clinical data of 139 patients who had undergone RPH plus REH（the study group） were analyzed retrospectively and compared with that of 129 patients who had undergone the procedure of external dissection and internal ligation（PED plus IL）（the control group）. As results, the cure rate in the study group was 91.4% （127/139）,higher than that in the control group（85.3%, 110/129）（ P〈0. 05）; the intraoperative time and wound healing time in the study group were all shorter than that in the control group （ P 〈0.05） ; the postoperative anal pain time and duration of hematochezia in the study group were all shorter than that in the control group（ P 〈0.05） ;and the resolution time of anal tenesmus was similar（ P 〉0.05）. It is concluded that RPH plus REH can ensure a higher cure rate,less pain and is simple in manipulation,is a ideal procedure.