保留齿线切扎并断桥缝合术治疗环状混合痔的临床探究.pdfVIP

提 要 目的：观察保留齿线切扎并断桥缝合术治疗环状混合痔的临床疗效，介绍一种新 的治疗环状混合痔的手术方法。 方法：将60例患者随机分为两组，治疗组30人，对照组30人。治疗组采用保留 齿线切扎并断桥缝合术，对照组采用传统混合痔外剥内扎术。观察并记录两组术后 疗效、术后创面愈合时间、术后并发症、肛门功能、术后复发等情况，比较两种手 术方法之间的差异。 结果： 治疗组与对照组经两种手术方法治疗后，其疗效、愈合时间有显著性差 异(P0.05，PO.01)，治疗组优于对照组；两组患者治疗后疼痛、水肿、出血分值比 较，经统计学处理，治疗组分值低于对照组（P0.05）；治疗组病例术后排尿障碍、 切口延迟愈合等并发症明显少于对照组，两组有显著性差异(P0．05)；但两组术后 肛门坠胀、创面感染、肛门狭窄、复发情况及术后肛门功能评价无显著性差异 (PO．05)。 结论：保留齿线并断桥缝合术治疗环状混合痔具有愈合时间短、痛苦小、并发症 少等优点，值得临床推广应用。 关键词 保留齿线；断桥缝合；环状混合痔。 Keep teeth broken bridge suture line and surgical treatment ring mixed hemorrhoids clinical research Specialty：Surgery of TCM Author ：Cui Yangyang Tutor：Professor Wang Lizhu Abstract Objective:Watch keep tooth wire cutting pierced the broken bridge and surgical treatment the clinical curative effect of the ring mixed hemorrhoids， introduces a kind of ring mixed hemorrhoids treatment of new surgical method. Methods: 60 cases were randomly divided into two groups: treatment group of 30 people, and the control group 30 people. The treatment group keep tooth wire cutting firm and the broken bridge operation, the control group by traditional mixed hemorrhoid strip was in the firm. Watch and record the two groups of postoperative curative effect, postoperative wound healing time, the postoperative complications, anus function, the circumstance such as recurrent and compare the two surgical method differences. Results: The treatment group and control group by two surgical method after treatment, its curative effect, healing time significant difference (P 0.05, P o. 01), the treatment group than in control group; Two groups of patients with pain after treatment, edema, bleeding score more, after statis