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保留齿线分段齿形内扎外切术治疗混合痔的临床

来源:《中外医疗》 编辑:谢林 时间:2018-11-26

[摘要] 目的 分析混合痔患者采用保留齿线分段齿形内扎外切术治疗的临床疗效。 方法 方便选取该院2013年1月—2017年12月收治的96例混合痔患者,按照不同治疗方式采用随机抽签法分为治疗组(48例,采用保留齿线分段齿形内扎术治疗)和对照组(48例,采用传统外剥内扎术治疗),对比两组患者治疗效果及术后并发症发生率等情况。 结果 治疗组治愈率(85.4%)显著高于对照组(54.2%),治疗组患者肛门疼痛率(20.8%)明显低于对照组(66.7%)。治疗组患者切口愈合时间显著短于对照组(P<0.05),两组住院时间对比差异无统计学意义(t=1.021,P>0.05)。治疗组患者术后并发症发生率16.7%显著低于对照组89.6%(χ2=46.386,P<0.05)。 结论 混合痔患者采用保留齿线分段齿形内扎外切术治疗的临床疗效良好。

[关键词] 混合痔;保留齿线分段齿形内扎外切术;传统外剥内扎术

[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742(2018)07(b)-0076-03

Clinical Application of Retaining Segmented Segmental Tooth Internal Ligation for Mixed Hemorrhoids

XIE Lin

Department of Anorectal, Liyang Traditional Chinese Medicine Hospital, Liyang, Jiangsu Province, 213300 China

[Abstract] Objective To analyze the clinical efficacy of the treatment of patients with mixed hemorrhoids using a preserved tooth-line segmented internal tooth resection. Methods A total of 96 patients with mixed hemorrhoids who were admitted to the hospital from January 2013 to December 2017 were convenient divided into treatment group (48 patients were treated with retained toothed wire segmented internal lobes) and control group (48 cases, treated with traditional external stripping and internal ligation) according to different treatment methods. The treatment effect and incidence of postoperative complications were compared between the two groups. Results The cure rate (85.4%) in the treatment group was significantly higher than that in the control group (54.2%). The anal pain rate in the treatment group (20.8%) was significantly lower than that in the control group(66.7%). The incision healing time was significantly shorter in the treatment group than in the control group(P<0.05). There was no significant difference in the length of hospital stay between the two groups (t=1.021, P>0.05). The incidence rate of postoperative complications in the treatment group was 16.7%, which was significantly lower than that of the control group(89.6%)(χ2=46.386, P<0.05). Conclusion The clinical effect of the treatment of mixed hemorrhoids patients with reserved internal thread segmental internal tooth resection is good.

[Key words] Mixed hemorrhoids; Retained toothed wire segmented toothed excision; Traditional external stripping and internal ligation

混合痔是肛腸科较为常见的一种多发性疾病,该疾病特征表现为内外痔相连成一个整体[1]。目前,临床主要采用外科手术治疗混合痔,传统外剥内扎术后并发症发生率较高[2]。近年来,该院对混合痔患者采用保留齿线分段齿形内扎外切术治疗,结果均取得良好的治疗效果。为进一步分析混合痔患者采用保留齿线分段齿形内扎外切术治疗的临床疗效,该文对比分析了该院2013年1月—2017年12月收治的96例混合痔患者分别采用传统外剥内扎术以及保留齿线分段齿形内扎术治疗的临床效果,现报道如下。

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