内痔结扎外痔切除一期缝合治疗混合痔50例临床观察.docVIP

内痔结扎外痔切除一期缝合术治疗混合痔50例临床观察 　　[摘要] 目的 比较内痔结扎外痔切除一期缝合术和传统Milligan-Morgan术的疗效及术后疼痛、水肿、出血等情况。 方法 将2015年1月～2016年12月就诊于我院肛肠外科的100例混合痔患者招募入组。随机将患者分为两组，试验组50例采用内痔结扎外痔切除一期缝合术，对照组50例采用传统Milligan-Morgan术。观察两组切口愈合时间、术后疼痛、水肿、出血等情况。 结果 试验组与对照组治愈率比较无显著差异（96% vs 94%，P0.05）。试验组术后24 h（3.95±1.24 vs 5.85±1.56，P中国论文网 /6/viewhtm 　　[关键词] 混合痔；内痔结扎；外痔切除一期缝合术；传统Milligan-Morgan术 　　[中?D分类号] R657.18 [文献标识码] B [文章编号] 1673-9701（2017）26-0051-04 　　Clinical observation on 50 cases of internal hemorrhoid ligation external hemorrhoids resection primary suture in the treatment of mixed hemorrhoids 　　LU Miaojiong1 CHU Weijian1 XIA Yu1 ZHENG Yi1 HUANG Hai2 　　1.Department of Anorectal Surgery， Hangzhou Traditional Chinese Medicine Hospital， Hangzhou 310007， China； 2. Department of No.1 Surgery， Hangzhou Traditional Chinese Medicine Hospital， Hangzhou 310007， China 　　[Abstract] Objective To compare the efficacy and postoperative pain， edema and hemorrhage between internal hemorrhoid ligation external hemorrhoids resection primary suture and traditional Milligan-Morgan technique. Methods A total of 100 patients with mixed hemorrhoids in Department of Anorectal Surgery of our hospital from January 2015 to December 2016 were enrolled. These patients were randomly divided into two groups. 50 patients in the experimental group were treated with internal hemorrhoid ligation and external hemorrhoids resection primary suture. 50 patients in the control group were treated with traditional Milligan-Morgan technique. The wound healing time， postoperative pain， edema and bleeding of the two groups were observed. Results There was no significant difference in the cure rate between the experimental group and the control group（96% vs 94%， P0.05）. The pain score of the experimental group was significantly lower than that in the control group at 24 hours after surgery（3.95±1.24 vs 5.85±1.56，P 　　[Key words] Mixed hemorrhoids； Internal hemorrhoid ligation； External hemorrhoids resection primary suture； Tradi