限制剥扎间桥整复术对环状混合痔的治疗研究

Treatment of Limited External Incision and Internal Ligation Combined with Restoration of Intervenient Skin for Circumferential Mixed Hemorrhoids

【目的】探讨治疗环状混合痔的有效而并发症少的手术方式。【方法】对环状混合痔治疗组 6 3例采用限制外剥内扎数量、间桥整复的手术方法 ,与传统的外剥内扎术治疗 34例作对照 ,对手术前后肛管直径及压力进行测定 ,比较观察两组的临床近期和远期疗效。【结果】治疗组的近期疗效和远期疗效均优于对照组 (均P <0 0 5 ) ;在预防水肿方面 ,治疗组优于对照组 (P <0 0 1) ;治疗组在手术后 3年肛管静息压和收缩压接近正常人组 ,与对照组比较差异有显著性 (P <0 0 5 )。【结论】对环状混合痔采用限制外剥内扎数量间桥整复的手术方法有疗效好 ,并发症少 ,复发率低的优点。

To explore an effective method with few operative complications for treating circumferential mixed hemorrhoids (CMH).Sixty three cases of CMH (Group A) were treated with limited external incision and internal ligation combined with restoration of intervenient skin and 34 cases (Group B) were treated with traditional external incision and internal ligation as control. Anal canal diameter (ACD), anal canal quiescent pressure (ACQP) and anal canal systolic pressure (ACSP) were determined before and after operation. Short term and long term therapeutic effects were also observed and compared in the two groups.Short term and long term therapeutic effects in Group A were better than those in Group B (P<0 05). And Group A showed a better effect in preventing anal canal edema than Group B (P<0 01). ACQP and ACSP in the third year after operation in Group A approached to those in the normal volunteers (Group C), the differences being significant as compared with Group B (P<0 05).[Conclusion]Limited external incision and internal ligation combined with restoration of intervenient skin is an effective method with fewer complications and less recurrence in treating CMH.