三分定位平衡法治疗混合痔疗效分析

Therapeutic effect of three-point balanced therapy on mixed hemorrhoids

目的探究三分定位平衡法治疗混合痔疗效。方法筛选2019年1月—2020年9月60例混合痔患者,根据治疗方式的差别分为观察组(30例,采用三分定位平衡法)和对照组(30例,采用传统的外剥内扎方式手术),比较两组患者的临床疗效、并发症发生率、手术时间和痊愈时间。结果治疗后,观察组痊愈25例,显效3例,无效2例,总有效率93.33%,显著高于对照组P<0.05。治疗后,观察组患者术后疼痛1例,肛门功能失禁1例,肛门水肿1例,并发症发生率10.00%,显著低于对照组,P<0.05。治疗后,观察组手术时间(15.56±4.51)min和创面痊愈时间(7.50±1.35)d显著短于对照组,P<0.05。结论在混合痔的临床治疗中,选择三分定位平衡法,可显著提高治疗成功率,缩短手术时间和创口痊愈时间,降低肛门水肿、肛门功能失禁和术后疼痛发生率,值得临床参考。

Objective To explore the therapeutic effect of three-point balanced therapy on mixed hemorrhoids.Methods A total of 60 patients with mixed hemorrhoids from January 2019 to September 2020 were selected and divided into an observation group(30 cases,who received three-point balanced therapy)and a control group(30 cases,who received traditional external stripping and internal ligation)according to treatment methods.The clinical efficacy,incidence of complications,operation time,and recovery time of the two groups of patients were compared.Results After treatment,in the observation group,25 cases were cured,3 cases improved,and 2 cases failed.The total effective rate of the observation group was 93.33%,significantly higher than that of the control group(P<0.05).After treatment,in the observation group,1 patient had postoperative pain,1 patient had anal incontinence,and 1 patient had anal edema,and the incidence rate of complications of the observation group was 10.00%,significantly lower than that of the control group(P<0.05).After treatment,the operative time was(15.56±4.51)min and the wound healing time was(7.50±1.35)min of the observation group,significantly shorter than those of the control group(P<0.05).Conclusion In the clinical treatment of mixed hemorrhoids,applying three-point balanced therapy can significantly improve the success rate of treatment,shorten the time of operation and wound healing,reduce the incidence of anal edema,anal incontinence,and postoperative pain,which is worthy of clinical reference.