痔上动脉结扎并外剥内扎术治疗多发混合痔临床观察

The Clinical Observation and Treatment of Hemorrhoid Artery Ligation and Stripping the Outer Mixed Hemorrhoid Ligation Multiple

目的:研究动脉结扎术和外剥内扎术双术并行治疗混合痔的效果。方法:回顾性分析本院经过手术治疗的120例多发混合痔患者,随机分为观察组和对照组两组,每组各60例。观察组采用痔上动脉结扎并外剥内扎术治疗,对照组仅行外剥内扎术,比较两组疗法之间的差异。结果:观察组患者的疼痛时间为(3.1±0.9)d,愈合时间为(11.2±1.9)d,大出血3例,占比5%;排便困难5例,占比8.3%;肛缘水肿10例,占比16.6%;肛门狭窄0例。观察组患者在术前、术后即刻、1 d、3 d和1周的VAS评分分别为(7.5±1.9)分、(3.0±1.8)分、(3.1±2.3)分、(3.5±2.4)分和(3.0±2.5)分。观察组疼痛评分与并发症例数显著低于对照组,差异具有统计学意义(P<0.05)。结论:痔上动脉结扎并外剥内扎术多发混合痔的疗效优于单行外剥内扎术的传统方法,值得临床借鉴。

Objective：To study the artery ligation and stripping outside internal plunge in parallel double surgery for the treatment of mixed hemorrhoids.Method：120 cases in our hospital after surgical treatment of multiple mixed hemorrhoid patients were retrospective analysised,and were randomly divided into the observation group and the control group,60 cases in each group. The observation group was treated by hemorrhoid artery ligation and ligation outer peel. The control group was only treated by ligation outer peel.The differences of two groups were compared.Result： The observation group patients pain were （3.1±0.9）d;healing time were （11.2±1.9）d;3 cases of the bleeding number, accounting for 5%;5 cases of bowel movements difficult, accounting for 8.3%;10 cases of anal margin edema, accounting 16.6%; the patients were no anal stenosis. The observation group patients in the preoperative, immediate postoperative,1 day, 3 days and 1 week VAS scores were respectively（7.5±1.9）,（3.0±1.8）,（3.1±2.3）,（3.5±2.4）and （3.0±2.5）. The observation group of complications and pain scores were significantly lower than the control group ,the difference was statistically significant（P〈0.05）.Conclusion： The traditional method of hemorrhoid artery ligation and milligan morgan hemorrhoidectomy multiple mixed hemorrhoids curative effect is better than that of single milligan morgan hemorrhoidectomy and is worth reference in clinical.