三联疗法治疗环状混合痔的临床疗效

Clinical Effect of a Triplet Therapy for Circumferential Mixed Hemorrhoids

为探讨痔上黏膜套扎术（RPH）、分段结扎术、肛门括约肌松解术联合（简称三联疗法）治疗环状}昆合痔的临床疗效，将200例环状混合痔患者随机分为治疗组和对照组，各100例，治疗组采用三联疗法治疗，对照组采用混合痔外剥内扎术治疗，对比两组总体疗效、手术时间、住院时间、术后并发症（创口疼痛、创缘水肿、尿潴留）和后遗症（肛门狭窄）发生情况。结果显示，两组患者均治愈，差异无统计学意义，P〉0．05；但治疗组手术时间、住院时间、术后创口疼痛、创缘水肿、尿潴留、肛门狭窄方面均明显优于对照组，P〈0．01。结果表明，三联疗法治疗环状混合痔疗效肯定、疗程短、术后并发症少，值得临床推广应用。

To explore the clinical effect of the one-in-three therapy[i.e Ruiyun procedure for hemorrhoids （RPH） ,segmental ligation and relaxation for anal sphincter] for circumferential mixed hemorrhoids, the 200 eases of this hemorrhoids were randomly divided to treatment group and eontrol one, n =100 for each; the former received the triplet therapy,while the latter still routine external dissection ＆ internal ligation; the whole effect, time for operation and for hospitalization, and the incidence of postoperative complication （wound pain, wound-edge edeme, and uroschesis） as well sequel （anal stenosis）. As results, the curative rates of both groups were 100%（ P 〉0.05）,but in the complication and sequel the former was significantly superior to the latter,at all（ P〈0.01）.Results show that this triplet therapy for circumferential rnixe hemorrhoids has certain effect,short treatment course and less postoperative eomplication,thus is worthy to be popularized to use elinieally.