串联式套扎法联合外痔切除术治疗混合痔的临床疗效观察-中医外科学专业论文.docxVIP

中文摘要 目的：通过与传统的外剥内扎术比较，观察串联式套扎法联合外痔切除术治 疗混合痔，缩短手术时间，降低患者术后并发症发生率等方面的临床指标，以选 取混合痔手术治疗的优选方案。 方法：将 61 例Ⅱ、Ⅲ度混合痔患者随机分成 2 组，治疗组 31 例，对照组 30 例。治疗组行串联式套扎法联合外痔切除术，对照组行传统外剥内扎术。观 察两组的手术时间、术后并发症、临床疗效、术后 3 月随访复发率，应用统计学 软件 SPSS17.0 对结果进行分析。 结果：两组患者术后总体疗效比较差异无统计学意义（p＞0.05），说明两组 患者的近期疗效无明显差异。两组患者术后随访3月，均无复发，说明两组患者d 的远期疗效无明显差异。 两组患者手术时间比较差异有统计学意义(p＜ 0.05)，说明治疗组操作更为 简便。 两组患者术后肛门疼痛、肛门水肿及尿潴留比较差异有统计学意义（p ＜ 0.05），说明治疗组优于对照组。 结论：两种手术方式治疗混合痔的临床疗效、术后复发率均无明显差异，为 治疗混合痔行之有效的手术方式。相对于传统的外剥内扎术，串联式套扎法联合 外痔切除术是一种符合肛门解剖生理、创伤小的微创手术方式，且具有操作时间 短、术后并发症发生率低等优点，是治疗Ⅱ、Ⅲ度混合痔的一种更为有效的手术 方式。 关键词：混合痔 串联式套扎法联合外痔切除术 外剥内扎术 临床疗 效观察 3 Abstract Objective：Compared with the traditional Milligan Morgan hemorrhoidectomy , the essay is to observe the clinical indicators of Tandem TaoZa method combined with external piles on treating the mixed hemorrhoid such as shorting the operation time ,reducing the incidence of complications after surgery ,to select the optimization of clinical treatment of the mixed hemorrhoid. Methods：61 cases of Ⅱ、Ⅲ degree mixed hemorrhoid patients were randomly divided into 2 groups, 31 cases in the treatment group , 30 cases in the control group. The treatment group underwent Tandem TaoZa method combined with external piles, while the control group received traditional Milligan Morgan hemorrhoidectomy. Observed two groups of operation time, complications, the clinical effect, after 3 months of follow-up recurrence rate. All data were analyzed with SPSS17.0 software. Results:There were no statistical differences in the overall curative effect after operation in the two groups (p0.05), the recent curative effect of the two groups were no obvious difference.With postoperative follow-up of 3 months, there are no recurrence, no difference between the long curative effect in two groups of patients. There were statistical differences between the two groups in operation time (p0.05), treatment group operation are more simple. There were significant differences between the two groups in the pos