痔上黏膜悬吊固定加外痔剥切术治疗环状混合痔的临床疗效

Superior Mucosa of Hemorrhoid Suspension and Fix plus External Hemorrhoid Dissection ＆ Resection in the Treatment of Circumferential Mixed Hemorrhoids：Clinical Effect

为探讨痔上黏膜悬吊固定加外痔剥切术治疗环状混合痔的临床疗效，将120例环状混合痔患者随机分为治疗组和对照组，各60例。对照组行传统外剥内扎术，治疗组采用痔上黏膜悬吊固定加外痔剥切术治疗，对比观察两组患者临床疗效、术后肛门疼痛、创缘水肿、肛门狭窄情况及创面愈合时间。结果显示，两组患者总有效率均为100％，差异无统计学意义，P〉O．05。但治疗组患者在术后肛门疼痛、创缘水肿、肛门狭窄、创面愈合时间方面均优于对照组，P〈0．05。结果表明，痔上黏膜悬吊固定加外痔剥切术治疗环状混合痔疗效确切、术后并发症少，创面愈合快，值得临床推广应用。

In order to explore the clinical effect of superior mucosa of hemorrhoid suspension and fix plus external hemorrhoid dissection ＆ resection in the treatment of circumferential mixed hemorrhoids,the 120 cases of this hemorrhoids were randomly divided into treatment group and control one, n = 60 for each;the former received above procedure,while the latter received routine external dissection ＆ internal ligation; then the clinical effect,the postoperative status on anal pain, wound-edge edema and stenosis of anus, and the time for wound-surface healing of both groups were observed and compared.As results, except the total effective rates of both groups were same（100%）,rest items results of the former were all superior to the latter（P〈0.05）.Results show that superior mucosa of hemorrhoid suspension and fix plus external hemorrhoid dissection ＆ resection for circumferential mixed hemorrhoids has such merits as certain effect,less postoperative complication, and faster wound-surface healing, thus is worthy to be popularized to use clinically.