直肠瓣挂线硬注术治疗混合痔近期疗效观察

目的观察和评价直肠瓣挂线硬注术治疗混合痔的临床疗效。方法将140例混合痔患者随机分成A组70例和B组70例，A组采用直肠瓣挂线硬注术治疗，B组采用外剥内扎术治疗，并对两组术后肛门疼痛、便血、排便通畅度、肛门坠胀不适、切口水肿、住院时间、切口愈合时间、术后复发率等方面进行评价。结果A组在术后肛门疼痛、便血、肛门坠胀不适、切口水肿、住院时间、切IEI愈合时间、术后复发率等方面明显低于B组（P〈0．05），A组排便通畅度明显优于B组（P〈0．05）。结论直肠瓣挂线硬注术治疗混合痔具有微创、微痛、并发症少、疗程短、患者恢复快等优点，近期疗效确切。

The recent clinical observation of the rectal valve threaddrawing and sclerosing injection in the treatment of mixed hemorrhoids

Objective To investigate the efficacy of the rectal waive threaddrawing treatment of mixed hemorrhoids. Methods 140 patients with mixed hemorrhoids were { carried through and sclerosing injection in the randomly divided into rectal waive threaddrawing and sclerosing injection } and group B { carried through milligan group A -Morgan hemorrhoidectomy } 70 case of each. The postoperative pain, hematochezia, patency of the defecation, uncomforta- ble tenesmus sensation of anus, incision edema, hospitalization time and the postoperative recurrence rate were ob- served. Results The postoperative pain, hematochezia, patency of the defecation, uncomfortable tenesmus sensa- tion of anus, incision edema, hospitalization time and the postoperative recurrence rate in group A were shorter or better than those in group B （ P 〈 0. 05 ）. The patency of the defecation in group A were efficacy than that in group B { P 〈 0. 05 }. Conclusion The rectal waive threaddrawing and sclerosing injection in the treatment of mixed hemor- rhoids is Minimally invasive, slight pain, few complications, short course of treatment, the patient recovered quick- ly.