分段分离外切内扎术治疗环状混合痔嵌顿临床探讨.docVIP

分段分离外切内扎术治疗环状混合痔嵌顿临床探讨 　　[摘要] 目的 探讨以分段分离外切内扎急症手术治疗环状混合痔嵌顿的临床应用价值。 方法 整群选取2012年2月―2014年8月间初次住院手术的84例环状混合痔嵌顿患者，连续进入观察。随机分成两组：治疗组（分段分离外切内扎急症手术组）42例，对照组（保守治疗1～2周后择期手术组）42例，根据疗效、术后症状积分、术后不良反应、住院时间、治疗费用及安全性等方面的结果做出评价。 结果 治疗组治愈率为97.62%，对照组治愈率为95.24%，二者差异无统计学意义。在术后症状积分上，治疗组的便血发生较对照组减少，术后疼痛较对照组有所减轻，水肿、坠胀、痔核脱落时间、创面愈合时间两组差异无统计学意义。但治疗组因无需前期治疗，总住院时间及治疗费用大大减少。 结论 环状混合痔嵌顿施行急症手术切实可行，安全可靠。且可缩短疗程，使患者尽快恢复工作、生活，减少医疗费用，对人体无不良影响，不影响肛门功能。 　　[关键词] 环状混合痔嵌顿；分段分离外切内扎术；急症手术 　　[中图分类号] R657.18 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0010-04 　　Clinical Observation of the Effect of Segmented Resection of the External and Separated Ligation of the Internal Hemorrhoids in the Treatment of Incarcerated Circumferential Mixed Hemorrhoids 　　ZHANG Wei 　　Department of Hemorrhoid， TCM Section， Branch of Shanghai General Hospital Affiliated to Shanghai Jiaotong University， Shanghai， 200031 China 　　[Abstract] Objective To discuss the clinical application effect of segmented resection of the external and separated ligation of the internal hemorrhoids in the treatment of incarcerated circumferential mixed hemorrhoids. Methods We executed a continuous observation for 84 incarcerated circumferential mixed hemorrhoids patients who hospitalized and underwent surgery as the first time from February 2012 to August 2014. We split them to 2 groups randomly， the curing group（42 patients） treated by segmented resection of the external and separated ligation of the internal hemorrhoids as the emergency operation and the control group（42 patients） treated by elective operation after the conservative treatment of 1-2 weeks. We evaluated the results based on the therapeutic efficacy， the grading of postsurgical symptoms， the postsurgical side effects， the cure period， medical expense and the margin of safety. Results The curing ratio of the curing group is 97.62%， there is no statistical significance from 95.24%， which is the curing ratio of the control group. In terms of the grading of postsurgical symptoms： Compa