自动痔疮套扎术联合鱼肝油酸钠注射治疗混合痔

Clinical study on the treatment of mixed hemorrhoids by automatic hemorrhoid puncture combined with cod liver oil sodium injection

目的:探讨自动痔疮套扎术(RPH)联合鱼肝油酸钠注射治疗混合痔的临床效果。方法:选取上海交通大学医学院附属瑞金医院舟山分院2016年3月至2017年3月收入院的内痔或以内痔为主的混合痔患者200例,随机分为治疗组(自动痔疮套扎+鱼肝油酸钠注射)和对照组(自动痔疮套扎术),每组100例,观察2组术后疼痛、出血、胶圈早期脱落、感染、肛门坠胀急便感、复发等情况。结果:治疗组术后胶圈早期脱落、出血、复发等方面优于对照组,2组比较差异有统计学意义(P<0.05),治疗组患者在术后疼痛、肛门坠胀急便感、尿潴留、血栓等方面与对照组比较,差异无统计学意义(P>0.05),2组患者均未见术后感染、肛门狭窄、肛门失禁等并发症。结论:自动痔疮套扎术联合鱼肝油酸钠注射治疗混合痔可以减少术后出血、胶圈早期脱落、复发等情况,提高临床疗效。

Objective: To study the efficacy of automatic hemorrhoid ligation(RPH) combined with cod liver oil sodium injection in the treatment of mixed hemorrhoids. Methods: Select our hospital in March 2016-March 2017 admitted to the hospital, which is mainly composed of hemorrhoids hemorrhoids or mixed hemorrhoid patients of 200 cases were randomly divided into treatment group(automatic hemorrhoids ligation+ cod liver oil acid sodium injection) and control group(automatic hemorrhoids ligation), 100 cases in each group, observe two groups of postoperative pain, aprons early fall off, infection, hemorrhage, anal fall swelling and tenesmus, recurrence, etc. Results: Compared with control group, treatment group aprons early fall off, bleeding, postoperative recurrence is better than that in control group, two groups compare the difference was statistically significant(P<0.05), the treatment group patients in postoperative pain, anal fall swelling and tenesmus, urinary retention, the respect such as blood clots compared with control group, there was no statistically significant difference(P>0.05), two groups of patients were not seen in postoperative serious complications such as infection, anal stenosis, anal incontinence. Conclusion: Automatic hemorrhoid ligation combined with cod liver oil sodium injection for the treatment of mixed hemorrhoid can reduce apron early fall off, bleeding, postoperative recurreuce and improve clinical efficacy.