肛垫悬吊并外痔翼型切缝术治疗环状混合痔

Anal cushion suspensory and external hemorrhoid airfoil-shaped suture in treatment of ring-ship mixed hemorrhoid

目的 探讨肛垫悬吊并外痔翼型切缝术治疗环状混合痔的临床效果,提高环状混合痔的手术治疗水平.方法 将120例环状混合痔患者按手术方法不同分为治疗组60例（肛垫悬吊并外痔翼型切缝术）和对照组60例（Milligan-Morgan术）,观察两组患者的术后疼痛、住院时间、创面愈合时间、术后并发症等,并进行比较.结果 治疗组治愈率为100.0％（60/60）,对照组为70.0％（42/60）,两组比较差异有统计学意义（P＜0.05）.治疗组住院时间和创面愈合时间分别为（8.58±0.89）,（14.00±0.72）d,对照组分别为（10.20±0.30）,（19.00±0.21）d,两组比较差异有统计学意义（P＜0.05）.治疗组术后并发症发生率及疼痛程度低于对照组,差异有统计学意义（P＜0.05）.结论 肛垫悬吊并外痔翼型切缝术治疗环状混合痔具有愈合时间短、术后疼痛轻、并发症少等优势.

Objective To discuss the clinical effects of anal cushion suspensory and external hemorrhoid airfoil-shaped suture in treatment of ring-ship mixed hemorrhoid,improve the level of the surgical treatment of ring-ship mixed hemorrhoid.Methods One hundred and twenty patients with ring-ship mixed hemorrhoid were divided into treatment group （60 cases treated by anal cushion suspensory and external hemorrhoid airfoil-shaped suture） and control group （60 cases treated by Milligan-Morgan operation） according to the operation method.The postoperative pain,hospitalization time,wound healing time,postoperative complications,etc were observed and compared.Results The cure rate was 100.0％ （60/60） in treatment group and 70.0％ （42/60） in control group,and there was significant difference between two groups （P ＜ 0.05）.The hospitalization time,wound healing time was （8.58 ± 0.89）,（14.00 ± 0.72） d in treatment group,（10.20 ± 0.30）,（19.00 ± 0.21） d in control group,and there was significant difference between two groups （P ＜ 0.05）.The incidence of postoperative complications and the degree of postoperative pain in treatment group was lower than that in control group,and there was significant difference between two groups （P ＜ 0.05）.Conclusion Anal cushion suspensory and external hemorrhoid airfoil-shaped suture in treatment of ring-ship mixed hemorrhoid has advantage of shorter wound healing time,less postoperative pain,less postoperative complications.