改良外剥内扎术联合注射、悬吊、肛门整复术治疗多发性混合痔的临床研究

Clinical Research of Modified External Dissection and Internal Ligation Combined Injection,suspension and restitution of anal for Circumferential Mixed Hemorrhoid

目的探讨改良外剥内扎术联合注射、悬吊、肛门整复术治疗多发性混合痔的疗效,术后并发症及肛门整复效果。方法将162例多发性混合痔患者随机分作试验组80例(脱落1例)和对照组78例(脱落3例)。试验组采用改良外剥内扎术联合注射、悬吊、肛门整复术,对照组采用外剥内扎术。结果术后1d患者在肛门疼痛程度、肛缘肿物突出及肛门光滑度方面试验组明显优于对照组(P<0.05)。术后3d、7d、6个月肛缘肿物突出及肛门光滑度等指标评分试验组明显优于对照组(P<0.05)。结论改良外剥内扎术联合注射、悬吊、肛门整复术治疗多发性混合痔疗效满意,术后并发症少而轻,术后残痔存留、肛门赘皮残留均很少,肛门光滑度高,肛门整复效果好。

Objective Observation of clinical curative effect of the Modified External Dissection and Internal Ligation Combined Injection, suspension and restitution of anal for Circumferential Mixed Hemorrhoid, and postoperative complications, plastic effect of it. Methods The 162 cases with Circumferential Mixed Hemorrhoid were randomly divided into two groups： the treatment group （80 cases） and the control group （78 cases）, the former received the improved therapy, and the latter was given the traditional procedure of external dissection and internal ligation. Results At the second postoperative day, The treatment group is better than the control group significantly at the degree of anal pain, swelling, and the smoothness （ P 〈0.01）. For improvement on the swellings and the smoothness, there was also significant differ- ence between the two groups （ P 〈0.05 or P 〈0.01 ） after 3days, 7days and 6 months. Conclusion The clinical curative effect of the Modified External Dissection and Internal Ligation Combined Injection, suspension and restitution of anal for Circumferential Mixed Hemorrhoid have satisfactory effect and lower complications, higher smoothness and satisfactory results of the anal plastic effect.