胶圈套扎术治疗混合痔30例临床疗效探析.pdfVIP

胶圈套扎术治疗混合痔30 例临床疗效分析 中文摘要 胶圈套扎术治疗混合痔30 例临床疗效分析 中文摘要 目的： 探讨胶圈套扎术治疗混合痔的临床疗效，并与传统的Milligan-Morgan 术作疗效 对比。 方法： 选取符合纳入标准的混合痔患者60 例，分为胶圈套扎手术组（治疗组）30 例， Milligan-Morgan 手术组（对照组）30 例。观察手术操作时间及两组患者术后疼痛、 出血、水肿、尿潴留、排便困难和切口愈合时间等指标，随访3 个月。计量资料采用 t 检验，等级资料用Wilcoxon 秩和检验,计数资料采用卡方检验或Fisher 确切概率法 检验（P0.05 ）。 结果： 两组患者在手术时间、术后疼痛、肛门水肿、排尿及排便情况、切口愈合时间等 方面，经统计学分析有显著差异。而在术后出血、内痔脱垂、肛门功能指标等方面， 两组间无显著差异。 结论： 胶圈套扎术与Milligan-Morgan 术相比操作简单，缩短手术时间，术后舒适度优 于对照组，疼痛明显减轻，小便不畅及尿储留情况减少，恢复较快。与传统 Milligan-Morgan 术比较，疗效相当，并发症少。胶圈套扎器械经改进后为一次性消 毒使用，方便携带，操作简单，可作为门诊的首选治疗方法。 关键词：痔，胶圈套扎，外剥内扎术 作 者：杜燕红 指导教师：赵 宏 3 Abstract 胶圈套扎术治疗混合痔30 例临床疗效分析 Analysis of the rubber band ligation of the mixed hemorrhoids:A report of 30 cases Abstract Objective：To investigate the effect of clinical symptoms by using the rubber band ligation to treat mixed hemorrhoids, contrasting with routine Milligan-Morgan procedure. Methods:60 cases of patients suffered from the mixed hemorrhoids were analyzed and divided into two groups,30 cases of treatment group were operated by the rubber band ligation and 30 cases of control group were operated by routine Milligan-Morgan procedure.Observe the time of consumption ,the postoperative pain both rest and after defecation, edema, urinary retention , difficult defecation and recovery time.Patients were followed up for anal function and satisfaction 3 months.T-test was choosed in the measurement data,Wilcoxon test was choosed in the level