外痔切除内痔缝固术治疗混合痔的临床视察.pdfVIP

提 要 目的：通过新型痔钳（黄乃健，专利号 200720025325）在混合痔临床治疗中的 应用，观察外痔切除内痔缝固术治疗混合痔的疗效，探索混合痔的新疗法。方法：本 课题对有手术指征的混合痔患者随机分组，采取不同的手术方式进行治疗，以外痔切 除内痔缝固术治疗混合痔的病例为治疗组，外剥内扎术治疗的病例为对照组。观察两 组患者术后疼痛、坠胀、术后出血、大便困难、肛缘水肿及术后 24 小时小便情况等 指标，并对以上指标量化评分。结果：两组病例疗效无明显差异，说明两种手术方法 都有效。但在术后疼痛、术后坠胀情况、术后 24 小时小便情况、术后大便困难和疗 程等方面，有显著性差异，治疗组优于对照组。 结论：针对痔钳在混合痔手术治疗中的应用从而提出一种新的手术方法。在混合 痔手术治疗方面开辟了新途径 ，具有较好的应用前景，对临床实践有一定的指导意 义。 关键词 痔；痔钳；内痔缝固术；临床观察 Clinical Observation on the Procedure of Excision External Hemorrhoids plus Suture fixation with Internal Hemorrhoids in the Treatment of Mixed Hemorrhoids Speciality: Surgery of TCM Author:Ji Limin Tutor: Prof.Wang Lizhu Abstract Objective :Through the new hemorrhoid forceps in mixed Hemorrhoids, We observe the application of Excision external hemorrhoids plus Suture fixation with internal hemorrhoids in the Treatment of Mixed hemorrhoids and explore a new treatment. randomly into two groups.Take different surgical treatment:Patients in treating group was pushed into Excision external hemorrhoids plus Suture fixation with internal hemorrhoids in Methods: We divided the patients who the surgical operation points to advertise for the Treatment of Mixed hemorrhoids;Patients in control group was pushed into Milligan-Morgan hemorrhoidectomy. Observe two groups of patients postoperative bleeding and postoperative pain falling bloated,defecate difficult situation and postoperative 24-hour urine, and the index above index quantification score. Results: Two groups of cases curative effect that no obvious difference and both surgical methods are effective. But afterwards, postoperative local comp