痔动脉结扎结合RPH治疗老年混合痔的临床疗效

Clinical curative effect evaluation of hemorrhoid artery ligation combined with RPH for the treatment of senile hemorrhoids sickness

目的观察痔动脉结扎结合RPH治疗老年痔病的临床疗效。方法选择老年混合痔患者90例,随机分为三组,每组30例。治疗组采用痔动脉结扎结合RPH术式,对照1组采用RPH术式,对照2组采用传统内扎外剥术式,观察术后创面愈合时间及并发症情况。结果治疗组在术后治愈率、愈合时间、术后并发症的发生率均优于对照组。在肛门功能评价方面,三组手术后及组间肛门失禁评分(Wexner评分)及肛门动力学测试,均存在显著性差异(P<0.05)。结论痔动脉结扎结合RPH术治疗老年痔病疗效显著,由于手术能较好地保护肛垫组织,术后恢复快、患者痛苦少,近期疗效好,值得临床推广。

Objective To observe the clinical curative effect of hemorrhoid artery ligation combined with RPH for the treatment of senile hemorrhoids sickness.Methods Ninety cases of elderly patients with mixed hemorrhoid were randomly divided into three groups,with 30 cases in each group.Patients with hemorrhoid artery ligation combined with RPH operation were selected as control group one.Patients in the control group two were received traditional Milligan-Morgan hemorrhodectomy.The postoperative wound healing time and complications were observed.Results The postoperative cure rate,healing time,incidence of postoperative complications in the treatment group were better than the control group.In the aspect of postoperative anal function evaluation,anal incontinence scores,anus（Wexner score）and dynamic test,there were significant differences among the three groups（P〈0.05）.Conclusion For the elderly hemorrhoids sickness,the hemorrhoid artery ligation combined with RPH is an effective option.It not only can well protect the anal cushion organization as a result of the surgery,but also has the advantages of fast postoperative recovery,less pain,good short-term effects.Therefore,it is worthy of being widely applied in clinic.