改良术式—外切内注选择缝合术治疗混合痔疗效观察

目的 为提高混合痔的治疗效果,保护肛门肛管功能及肛门正常结构,降低术后并发症和后遗症的发生率。方法按国内混合痔暂行诊治标准及排除标准,纳入病例168例,采用简单随机法分为观察组(n=84)和对照组(n=84)。观察组采用“外切内注选择缝合”术式,对照组用“外剥内扎”术式,术后均抗炎、止血、对症治疗。结果 观察组84例,一次性治愈83例,占98.8％,一例术后水肿经二次手术治疗痊愈,总有效率100％,;对照组84例,一次性治愈73例(占86.9％),行二次手术(一次手术后水肿形成血栓者4例、桥形愈合3例、切口感染4例)治愈者11例(占13.0％)。结论 两组数据对比并经统计学处理,p<0.05,观察组疗效明显优于对照组,肛门功能及结构受损少,术后并发症后遗症少,疗程短。

The Treatment of Mixed Hemorrhoids with Reformative Operation by Using Incision of External Hemorrhoids plus Selective Suture and Injection of Internal Hemorrhoids

Objectives For raising care rate of mixed hemorrhoids and protecting the functions of anal,meantime, also for reduceing the postoperative complication, such as pain, bleeding, retention of urine, narrowing of anal skin, etc. We designed the operation by using Incision of external hemorrhoids plus selective suture and injection of internal hemorrhoids. 168consecutive patients with mixed hemorrhoids were randomized: Study group (n = 84) patients underwent the operation by using Incision of external hemorrhoids plus selective suture and injection of internal hemorrhoids;Control group (n = 84) patients underwent the classical operation by external excision and internal separation with ligational.The result: Study group had 83 cases (98.8% ) one care rate, only one patient (1.19%) had secondary operation ; The control group had 73 cases (86.9 %) one care rate and 11(13.1%) cases patient had secondary operation Our study shows that the study operation has great advantages of less surgical injury, shortening treatment course, raising cure rate , reduceing the postoperative complication and protecting the anal functions.