摘要
为探讨亚甲蓝切缘封闭在环状混合痔手术中的临床应用价值，将72例手术治疗的环状混合痔患者随机分为治疗组和对照组，各36例，对照组采用保留齿状线、分段外切内扎术治疗，治疗组在对照组手术的基础上加行亚甲蓝切缘封闭注射。观察两组治愈率、创面愈合时间、术后肛门疼痛、肛缘水肿、术后早期排尿及排便功能等情况。结果显示，在治愈率方面，两组差异无统计学意义，P〉0．05；但在创面愈合时间、术后肛门疼痛、肛缘水肿、排尿困难及排便困难等方面，治疗组明显优于对照组，P〈0．05。结果表明，在环状混合痔手术中加行亚甲蓝切缘封闭注射，可以显著减少术后并发症的发生，减轻患者痛苦，缩短创面愈合时间。
In order to explore applicable value of block injection methylene blue at incision edge in the oper- ation for circumferential mixed hemorrhoids,authors divided the 72 patients randomly into treatment and control group（ n ： 36,per group）. Control group received the procedure of saving dentate line, fragmental external resection ~ internal ligation~ excepting above-mentioned procedure used in control group,treatment group was added with block injection methylene blue at incision edge ~ And , observed such status as curative rate, wound-surface healing time, postoperative anus pain, anus-edge edema, postoperative earl）, u- rination and defecation, etc. As results,in curative rate there was no statistical difference（ P 〉0.05）, but in other observed items, treatment group was significantly superior to control group（ P 〈0. 05）. Results show that in the operation for circumferential mixed hemorrhoids adding block injection methylene blue at incision edge can significantly decrease postoperative complication, relieve patient＇s pain, and shorten heal- ing time of wound-surface.
出处
《中国肛肠病杂志》
2011年第12期43-45,共3页
Chinese Journal of Coloproctology
关键词
环状混合痔
封闭注射
手术
Circumferential mixed hemorrhoid
Block injection
Operation
