结扎术联合消痔灵注射治疗嵌顿痔效分析.docVIP

结扎术联合消痔灵注射治疗嵌顿痔疗效分析 　　[摘要] 目的 探讨结扎术联合消痔灵注射治疗嵌顿痔的临床疗效。方法 回顾分析2016年1月―2017年1月该院治疗的60例嵌顿痔患者临床资料，30例接受结扎联合消痔灵注射为观察组，30例接受外剥内扎术为对照组，对比两组治疗的疗效、手术时间、术中出血、愈合时间和并发症情况。结果 观察组手术时间（16.7±3.7）min、术中出血（6.9±3.6）mL、愈合时间（14.1±2.9）d、肛缘水肿发生率（6.7%）明显低于对照组（P0.05）。结论 结扎术联合消痔灵注射治疗嵌顿痔具有良好的临床疗效，操作简单，手术时间短，出血少，愈合快，值得临床推广应用。 中国论文网 /6/viewhtm　　[关键词] 嵌顿痔；外剥内扎术；结扎术 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）11（b）-0065-03 　　[Abstract] Objective This paper tries to observe the clinical efficacy of ligation combined with Xiaozhiling injection in the treatment of incarcerated haemorrhuids. Methods The clinical data of 60 incarcerated haemorrhuids patients in this hospital from January 2016 to January 2017 were analyzed， 30 cases receiving ligation combined with Xiaozhiling injection therapy were regarded as the observation group， and 30 cases receiving Milligan-Morgan operation were regarded as the control group. The curative effect， operating time， interoperative bleeding， wound healing time， and incidence of complications of both groups after treatment were observed and compared. Results The operating time was（16.7±3.7）min and bleeding was （6.9±3.6）mL， wound healing time was（14.1±2.9）d， the incidence of anal edema was 6.7% of the observation group， significantly lower than that of control group （P0.05）. Conclusion The combined treatment of ligation and Xiaozhiling injection is effective for incarcerated hemorrhoids. It can effectively shorten the operating time and the wound healing time and reduce the operating bleed loss. Therefore it is worth promotion and application. 　　[Key words] Incarcerated hemorrhoids； Milligan-Morgan operation； Ligation 　　嵌顿痔是肛肠科的常见急症之一，多需要手术治疗，但其严重水肿、肛门括约肌紧张使早期可采用的手术方式有限，术后易出现出血、水肿、疼痛等并发症。该研究回顾分析2016年1月―2017年1月该部治疗的60例急性嵌顿痔患者，分别采用结扎术联合消痔灵注射和外剥内扎术治疗，前者取得较好效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选取接受结扎联合消痔灵注射治疗的30例患者设为观察组，外剥内扎治疗30例患者设为对照组。观察组，男19例，女11例，平均年龄（43.8±16.3）岁，病程1～6 d，平均（2.9±1.8）d。对照组，男17例，女13例，平均年龄（43.0±15.6）?q，病程1～8 d，平均（2.9±1.9）d。两组间性别、年龄、病程差异无统计学意义（P