外剥内扎加消痔灵注射治疗混合痔的临床疗效分析

Analysis on clinical efficacy of Miligan-Morgan technique combined with hemorrhoid injection on mixed hemorrhoid

目的研究外剥内扎联合消痔灵注射对混合痔的治疗效果。方法我院2010至2012年间收治的96例混合痔患者随机分为实验组和对照组各48例，对照组使用传统常规外剥内扎术治疗，实验组使用外剥内扎加消痔灵注射治疗，比较两组患者治疗效果。结果术后3天、7天、14天实验组患者疼痛评分、出血评分均显著低于对照组，差异有显著性（P〈0．05）。实验组治愈46例，显效2例，治愈率95．8％，对照组治愈39例，显效8例，好转1例，治愈率81．3％，实验组治愈率显著高于对照组（P〈0．05）。结论外剥内扎加消痔灵注射对混合痔有较好的治疗效果且能保存肛门正常功能，是一种理想的治疗手段。

Objective To study the clinical efficacy of Miligan-Morgan technique combined with hemorrhoid injection on mixed hemorrhoid. Methods The 96 patients of mixed hemorrhoid during 2010-2012 were randomly divided into experimental group and control group. The control group was treated with Miligan-Morgan technique only while the experimental group was treated with hemorrhoid in addition. Results The experimental group had a significantly lower level of pain and hemorrhage than control group in time of 3-day, 7-day, 14-day after surgery （P〈0.05）. The experimental group had 46 cured and 2 excellence while the control group had 39 cured, 8 excellence and 1 improved. The cure rate of experimental group （95.8%） was significantly higher than that of control group （81.3%） （P〈0.05）. Conclusions Miligan-Morgan technique combined with hemorrhoid injection can keep normal function of anus and has good effectiveness on mixed hemorrhoid.