摘要
目的:观察柱状缝扎术治疗环状混合痔的临床疗效。方法:将72例环状混合痔患者随机分为治疗组和对照组各36例。治疗组采用柱状缝扎术治疗,对照组采用外剥内扎术治疗。观察两组疗效、术后并发症(疼痛、出血、水肿)、术后肛门功能(肛门狭窄、肛门失禁)等情况,并进行比较分析。结果:总有效率治疗组为100%,对照组为97%,组间比较,差异无统计学意义(P>0.05);两组术后1、3、7、14d疼痛,术后7、14d出血,术后1、3d水肿及术后肛门狭窄评分比较,差异有统计学意义(P<0.05)。结论:柱状缝扎术治疗环状混合痔疗效肯定,并发症少,且安全性高,值得临床推广应用。
Objective: To observe the clinical effect of columnar suture in the treatment of circular mixed hemorrhoids. Methods: Seventy- two patients with circular mixed hemorrhoids were randomly and equally divided into treatment group and control group. The treatment group was treated with columnar suture,while the control group underwent Milligan- Morgan hemorrhoidectomy. The two groups were compared in terms of treatment outcome,postoperative complications( pain,hemorrhage,and edema),and postoperative anal function( anal stenosis and anal incontinence). Results: The treatment group had a nonsignificantly higher overall response rate than the control group( 100% vs97%,P〉0. 05). There were significant differences between the two groups in the scores of pain at 1,3,7,and 14 days after operation,bleeding at 7 and 14 days after operation,edema at 1 and 3 days after operation,and postoperative anal stenosis( P〈0. 05). Conclusion: Columnar suture has a good clinical effect in the treatment of circular mixed hemorrhoids,causes few complications,has high safety,and holds promise for clinical application.
出处
《湖南中医杂志》
2016年第2期11-13,共3页
Hunan Journal of Traditional Chinese Medicine
基金
上海市中医药发展办公室杏林新星计划资助项目(编号:ZYSNXD011-RC-XLXX-20130030)
上海市浦东新区传统型中医临床示范学科建设项目(编号:PDZYXK-T-2012008)
上海市浦东新区名中医工作室建设项目(编号:PDZYXK-3-2014017)
关键词
环状混合痔
柱状缝扎术
外剥内扎术
并发症
肛门功能
circular mixed hemorrhoids
columnar suture
Milligan Morgan hemorrhoidectomy
complication
anal function