急性嵌顿痔行急诊手术的疗效及可行性.docVIP

急性嵌顿痔行急诊手术的疗效及可行性 　　doi：10.3969/j.issn.1007-614x.2014.14.45 　　摘 要 目的：探究对急性嵌顿痔患者行急诊手术的疗效及可行性。方法：收治急性嵌顿痔患者56例，将其均分为两组。治疗组患者行急诊手术，对照组患者行保守治疗。观察两组患者治疗效果和康复情况。结果：治疗组治愈率高达85.71%，对照组仅67.86%；治疗组患者疼痛缓解时间多在3天以内，对照组患者疼痛缓解时间多为3～5天甚至更久。结论：行急诊手术治疗急性嵌顿痔患者有良好效果。它可以加快患者恢复且降低疼痛时间，临床可行性高。 　　关键词 急性嵌顿痔 手术 疗效 可行性 　　The curative effect and feasibility of emergency operation in acute incarcerated hemorrhoid 　　Tian Maoxi 　　The emergency department of the peoples hospital in Wuchuan yilaozu Miaozu Autonomous County，Zunyi City，Guizhou Province，564300 　　Abstract Objective：To explore the curative effect and feasibility of emergency operation in patients with acute incarcerated hemorrhoid.Methods：56 cases of patients with acute incarcerated hemorrhoid were admited and divided into two groups.The patients in treatment group were given emergency operation.The patients in the control group were given conservative treatment.Observe the treatment effect and recovery of patients.Results：The cure rate in the treatment group was as high as 85.71%，while the control group was only 67.86%.The pain relief time of patients in the treatment group were within 3 days.The pain relief time of patients in the control group were 3～5 days or even longer.Conclusion：The emergency operation in the treatment of patients with acute incarcerated hemorrhoid has a good effect.It can accelerate the recovery of patients and reduce the pain of time，so it has higher clinical feasibility. 　　Key words Acute incarcerated hemorrhoid；Operation；Curative effect；Feasibility 　　嵌顿痔意为痔核脱出无法及时回纳，刺激肛门而导致痔静脉回流障碍。它多由充血、水肿和血栓形成。实践中保守治疗疗程长且缓解疼痛起效慢[1]。采用此方法见效慢、患者较为痛苦。因此本试验对急性嵌顿痔患者行急诊手术，现报告如下。 　　资料与方法 　　2012年4月-2013年4月收治急性嵌顿痔患者56例。将其随机均分为治疗组和对照组。治疗组男18例，女10例，平均年龄（42.1±4.7）岁。对照组男19例，女9例，平均年龄（41.9±4.6）岁。病例纳入标准如下：①无心肝肾疾病。②符合《中华肛肠病学》嵌顿痔暂行标准。③配合治疗，资料完整患者。两组患者具体病情差异无统计学意义，有可比性。 　　治疗方法：①治疗组患者接受急诊手术治疗。a.对其行Milligan-Morgan术（外剥内扎）[2]。b.采用小剂量麻醉患者腰骶部。若局部阻滞则可采用静脉麻醉。c.用剪刀牵起痔块并剪开皮肤和黏膜。剥离痔体静脉并显示出内括约肌。d.切除痔组织。用手术钳将痔块夹紧，用7号或10号丝线结扎切除处。e.修剪肛门多余组织及黏膜