“整体观”指导下环状混合痔的手术疗效观察

Effect of Surgery under the Guidance of “Holistic View” in the Treatment of Circumferential Mixed Hemorrhoids

目的:以"整体观"理论为指导,采用内痔结扎外痔切除术(内扎外切术)及内痔套扎外痔切开缝合术(内套外缝术)两联疗法治疗环状混合痔(CMH)患者,并与传统内扎外切术对比,评价临床疗效。方法:纳入80例CMH患者,随机分为治疗组和对照组,每组40例。对照组采用内扎外切术治疗,治疗组采用内扎外切术及内套外缝术两联疗法。评价两组临床疗效,观察两组术后伤口疼痛、出血、水肿情况,比较两组的术后住院时间及伤口愈合时间。结果:两组的临床总有效率均为100%。治疗组患者的伤口出血、疼痛情况优于对照组(P<0.05),治疗组患者的术后住院时间较对照组明显缩短(P<0.05)。结论:内扎外切联合内套外缝术治疗环状混合痔具有较好的疗效,可明显改善患者术后水肿、疼痛症状。

Objective： To evaluate the clinical effect of method of ligation for internal hemorrhoid and excision for external hemorrhoid combined with method of loop ligature for internal hemorrhoid and incision and suture for external hemorrhoid in treating circumferential mixed hemorrhoids（ CMH） compared with the traditional method of ligation for internal hemorrhoid and excision for external hemorrhoid under the guidance of ＂holistic view＂. Methods： Eighty patients with CMH were randomly divided into the treatment group and the control group with 40 cases in each group. The patients in the control group were treated by method of ligation for internal hemorrhoid and excision for external hemorrhoid and the patients in the treatment group were treated by method of ligation for internal hemorrhoid and excision for external hemorrhoid combined with method of loop ligature for internal hemorrhoid and incision and suture for external hemorrhoid. The clinical effect was evaluated,the pain,hemorrhage and edema of the wound after surgery were observed,and the hospitalization time and wound healing time after surgery were compared. Results： The total effective rates of both groups were 100%. The symptoms including hemorrhage and pain in the treatment group were superior to the control group（ P〈0. 05）,and the hospitalization time after surgery of the treatment group was shorter than that of the control group（ P〈0. 05）. Conclusion： Method of ligation for internal hemorrhoid and excision for external hemorrhoid combined with method of loop ligature for internal hemorrhoid and incision and suture for external hemorrhoid has good effect in the treatment of CMH,and can improve the edema and pain symptoms after surgery.