倒T口外剥内注悬吊法治疗混合痔50例临床观察

The clinical observation of the therapeutic method of external excision with reversed T cut and internal ligation suspension(EERTILS) for mixed hemorrhoids of 50 cases

目的倒T口外剥内注悬吊法治疗混合痔疗效。方法混合痔手术病人100例,随机分为两组,治疗组50例采用倒T口外剥内注悬吊法治疗,对照组50例采用传统外剥内扎术。结果两组治疗有效率(P=0.140)及手术时间差异无统计学意义(P=0.3198);但治疗组术后疼痛程度、尿潴留、创缘水肿、皮赘残存及肛门狭窄明显优于对照组(P<0.05);住院时间、创口愈合时间明显缩短(P<0.05)。结论与传统治疗方法相比,倒T口外剥内注悬吊法治疗混合痔创伤小,愈合快,并发症少。

Objective To observe the effect of the therapeutic method of excision with reversedT cut and internal ligation suspension (EERTILS) for mixed hemorrhoids. Methods 100 patients were randomlydivided into two groups, the treatment group was treated with EERTILS while the control group was treated withconventional milligan-morgan. Results There were no statistical differences between the two groups in termsof treatment efficiency (P=0.140) and operation time (P=0.3198). The treatment group was significantly superiorin respects of post-operation pain, uroschesis, dropsy in cut edge, remaining wart and anal stricture (P < 0.05),while hospitalization duration and wood healing time were shorter (P < 0.05). Conclusions Compaired withconventional method, EERTILS has several advantages such as less trauma, faster healing and less complications.