肛肠病致脱出与便秘的术式选择及疗效评价

An analysis of treating prolapse and astriction from anorectal diseases

目的:研究并分析肛肠病致脱出与便秘的手术方式选择和疗效评价,从而为肛肠病致脱出与便秘患者提供更为有效的治疗方式。方法:我院2012年3月-2015年3月共收治肛肠病致脱出与便秘患者102例,随机分组,对照组患者运用常规外剥离内扎术治疗,观察组患者运用肛门内括约肌部分松解联合混合痔内扎外剥离术治疗,对比两组患者临床治疗效果、术后并发症发生率、创面愈合时间等。结果:对照组患者的临床治疗总有效率为80.39%,观察组患者的临床治疗总有效率为88.24%,二者对比,差异具有显著性(P<0.05);对照组患者创面愈合时间为(16.3±2.8)d,与观察组患者相比,差异具有显著性(P<0.05);两组患者术后出现的并发症主要有便秘、水肿疼痛和肛门狭窄等,对照组患者并发症发生率高于观察组患者,差异具有显著性(P<0.05)。结论:对于肛肠病致脱出与便秘患者而言,运用肛门内括约肌部分松解联合混合痔内扎外剥离术治疗效果显著,值得推广。

Objective: To study efficacy of methods on prolapse and astriction from anorectal diseases. Methods: 102 cases weredivided into two groups. The control group received conventional external dissection and internal ligation surgery. The observed group tookpartial incision internal sphincter loosening plus external dissection and internal ligation surgery of mixed hemorrhoid. Results: The totalefficiency was 80.39% in the control group, lower than 88.24% in the observed group (P<0.05). The healing time was (16.3±2.8) days inthe control group (P<0.05). Complications was more in the control group (P<0.05). Conclusion: Partial incision internal sphincter looseningplus external dissection and internal ligation surgery of mixed hemorrhoid were effective on prolapse and astriction from anorectal diseases,and worthy of promotion.