内痔套扎外痔剥切缝合术治疗混合痔的临床疗效分析

Analysis of Clinical Curative Effect of Internal Hemorrhoid Ligation and External Hemorrhoid Stripping and Cutting Suture Technique in Treatment of Mixed Hemorrhoid

目的探讨内痔套扎外痔剥切缝合术治疗混合痔的有效性及安全性,从而为临床上治疗混合痔提供更科学有效的方法。方法回顾性分析2013年10月—2015年10月该院接受检查的164例混合痔患者,将其随机分为治疗组和对照组。治疗组采用内痔套扎外痔剥切缝合技术,对照组采用传统的外拨内扎术,对比观察实验组与对照组之间手术时间、手术费用、术中出血量、术后愈合时间、疼痛及相关并发症情况。结果治疗组总治愈率为90%,略高于对照组85%,差异无统计学意义,但术后并发症且并发证(创口疼痛、出血、尿潴留及肛门坠胀感)显著下降,差异有统计学意义,P<0.05。结论内痔套扎外痔剥切缝合术治疗混合痔安全有效,患者痛苦较小是一种值得推广的方法。

Objective To discuss the effectiveness and security of internal hemorrhoid ligation and external hemorrhoid stripping and cutting suture technique in treatment of mixed hemorrhoid thus providing a scientific and effective method of treating the mixed hemorrhoid in clinic. Methods 164 cases of patients with mixed hemorrhoid receiving examination in our hospital from October 2013 to October 2015 were retrospectively analyzed and randomly divided into two groups, the treat- ment group were treated with infernal hemorrhoid ligation and external hemorrhoid stripping and cutting suture technique, the control group were treated with traditional dial out and internal ligation, the operation time, operation costs, intraopera- tive blood loss, postoperative healing time, pains and other complications were compared and observed between the two groups. Results The total healing rate in the treatment group was a little higher than that in the control group without statis- tical significance, however, the postoperative complications including wound pains, bleeding, uroschesis and sensation of rectal tenesmus obviously decreased with statistical difference, P〈0.05. Conclusion The internal hemorrhoid ligation and external hemorrhoid stripping and cutting suture technique in treatment of mixed hemorrhoid is safe and effective, and the patient＇s pain is less, which is worth promotion.