截断结扎术治疗重度混合痔30例临床研究

目的：研究截断结扎术治疗重度混合痔的临床应用价值。方法：上海中医药大学附属龙华医院肛肠科初次住院手术的60例重度混合痔患者,连续进入观察。随机分为2组：截断结扎术组（治疗组,30例）和外剥内扎术组（对照组,30例）。根据治愈时间、治愈率、住院天数、手术时间、术后不良反应及安全性等方面的结果作评价。结果：截断结扎术组与外剥内扎术组2者治愈率分别为90.0%和86.7%,无统计学差异。2组在住院天数、愈合时间、手术时间及术后疼痛、水肿、皮赘残留等方面有显著性统计学差异（P〈0.05）,而在术后出血、排尿困难、肛门狭窄等方面,2组无显著性差异（P〉0.05）。结论：截断结扎术组能明显缩短住院天数及创面愈合时间,缩短手术时间,减少术后不良反应,术后肛门功能良好。

Clinical Study of Segmentation and Ligation to Treat 30 Cases of Severe Mixed Hemorrhoids

Objective：To assess the clinical value of Segmentation and ligation for severe mixed hemorrhoids.Methods：A prospective randomized trial（n=60）for treating severe mixed hemorrhoids comparing Segmentation and Ligation（SL group）and the approach of stripping off the varicose masses of the external hemorrhoids and ligating the internal（control group）.Evaluation parameters include cure rate,hospitalization duration,healing time,operative time,postoperative complications and safety etc.Results：Cure rate was 90.0% of SL group and 86.7% of the control group.Significant differences（P0.05）were shown in hospitalization duration,healing time,operative time,presence of pain,dropsy and redundant skin residue.In postoperative bleeding,urination difficulty,anal stenosis,there were significant difference between groups（P0.05）.Conclusion：Segmentation and ligation can significantly reduce hospital stay,healing time,operative time and presence of dropsy,maintain good physiological function of anus.