盐酸罗哌卡因腰俞穴注射配合扩肛治疗混合痔手术后括约肌失弛缓型切口不愈的临床研究

A clinical study:The efficacy of the treatment by using ropivacaine hydrochloride Lumbar shu point acupoint-injection combined with anal dilatation treatment innot healing sphincteral achalasia incision after mixed hemorrhoid surgery

目的探索一种疗效确切、操作简单的治疗混合痔手术后括约肌失弛缓型切口不愈合的外治方法。方法将90例混合痔手术后括约肌失弛缓型切口不愈合患者随机分为两组,治疗组(45例)采用盐酸罗哌卡因腰俞穴注射配合扩肛治疗;对照组(45例)采用括约肌切开清创术治疗。观察分析两组的创面愈合情况、创面愈合时间、疼痛、肛门症状方面差异。结果两组在治疗前症状评分方面的差异无统计学意义(P>0.05);两组在疼痛、肛门坠胀、切口愈合时间等方面的差异具有统计学意义(P<0.05)。结论盐酸罗哌卡因腰俞穴注射配合扩肛治疗方法疗效确切、症状改善明显、切口恢复快、患者接受度好。

Objective To explorean effective, simple external treatment in not healing sphincteral achala- sia incision after mixed hemorrhoid surgery. Methods 90 cases of mixed hemorrhoid postoperative sphincter achalasia incision not healing patients were randomly divided into two groups, the treatment group （45 ca- sesl by using the treatment of ropivacaine hydrochloride Lumbar shu point aeupoint-injection combined with anal dilatation, while control group （45 cases） using sphincter incision and debridement treatments. Wound healing, wound healing time, the differences of pain symptoms were observed and statistics were used to analyse the results. Results The two groups before treatment no significant difference in symptom scores （ P〉0.05） in terms of pain, anus bulge has significant differences （ P〈0.05）. And no significant difference in wound healing （ P 〉0.05 ） while healing time has significant differences [ P〈0. 05）. Conclu- sion The treatment by using ropivacaine hydrochloride Lumbar shu point acupoint-injection combined with anal dilatation treatment in not healing sphincteral achalasia incision after mixed hemorrhoid surgery is ef- fective, and symptoms were improved significantly, time of recovery was reduction and had a good patient acceptance.