[1]陈显韬,祝 琦,陈玉川.内痔注射后套扎联合外痔切除术治疗环状混合痔的疗效[J].医学信息,2019,32(19):89-91.[doi:10.3969/j.issn.1006-1959.2019.19.026]
　CHEN Xian-tao,ZHU Qi,CHEN Yu-chuan.Therapeutic Effect of Ligation Combined with External Hemorrhoids for Treatment of Circumferential Mixed Hemorrhoids after Internal Hemorrhoid Injection[J].Journal of Medical Information,2019,32(19):89-91.[doi:10.3969/j.issn.1006-1959.2019.19.026]
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内痔注射后套扎联合外痔切除术治疗环状混合痔的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年19期
页码:
89-91
栏目:
临床研究
出版日期:
2019-10-01

文章信息/Info

Title:
Therapeutic Effect of Ligation Combined with External Hemorrhoids for Treatment of Circumferential Mixed Hemorrhoids after Internal Hemorrhoid Injection
文章编号:
1006-1959（2019）19-0089-03
作者:
陈显韬; 祝 琦; 陈玉川
（四川省广安市人民医院肛肠科，四川 广安 638000）
Author(s):
CHEN Xian-tao; ZHU Qi; CHEN Yu-chuan
(Department of Anorectal Surgery,Guang'an People's Hospital,Guangan 638000,Sichuan,China)
关键词:
环状混合痔; 内痔硬化注射术; 内痔套扎术; 外痔切除术
Keywords:
Circumferential mixed hemorrhoids; Internal sclerotherapy; Internal malleolus ligation; External hemorrhoidectomy
分类号:
R657.18
DOI:
10.3969/j.issn.1006-1959.2019.19.026
文献标志码:
A
摘要:
目的 观察内痔消痔灵注射后套扎联合外痔切除治疗环状混合痔的临床疗效。方法 选取我院2017年10月~2018年6月收治的106例环状混合痔患者，按照手术方式分为对照组与观察组，各53例。对照组采用内痔套扎联合外痔切除治疗，观察组在内痔消痔灵注射后套扎联合外痔切除治疗。比较两组治愈率、术中出血量、术后疼痛、脱线时间、脱线后出血、创面愈合时间、肛门狭窄及复发率等情况。结果 对照组治愈率为92.45%，高于观察组的84.91%，但差异无统计学意义（P＞0.05）；两组术中出血量、术后疼痛、创面愈合时间、肛门狭窄等情况比较，差异无统计学意义（P＞0.05）；观察组患者脱线时间为（8.13±1.97）d，少于对照组的（11.03±1.58）d，差异有统计学意义（P＜0.05）；观察组脱线时出血发生率、复发率均为1.89%，少于对照组的13.21%、9.43%，差异均有统计学意义（P＜0.05）。结论 内痔消痔灵注射后套扎联合外痔切除治疗环状混合痔可以减少内痔脱线时间与脱线期出血，有效降低复发率。
Abstract:
Objective To observe the clinical efficacy of internal hemorrhoids combined with external hemorrhoids for the treatment of circumferential mixed hemorrhoids. Methods A total of 106 patients with circumferential mixed hemorrhoids admitted to our hospital from October 2017 to June 2018 were enrolled. The patients were divided into control group and observation group according to the operation method, with 53 cases in each group. The control group was treated with internal malleolus ligation combined with external hemorrhoidectomy. The observation group was treated with internal hemorrhoids combined with external hemorrhoidectomy. The cure rate, intraoperative blood loss, postoperative pain, off-line time, bleeding after off-line, wound healing time, anal stenosis, and recurrence rate were compared between the two groups. Results The cure rate of the control group was 92.45%, which was higher than that of the observation group 84.91%, but the difference was not statistically significant (P>0.05). The difference of intraoperative blood loss, postoperative pain, wound healing time, anal stenosis, etc. There was no statistical significance (P>0.05). The time of off-line in the observation group was (8.13±1.97) d, which was less than that in the control group (11.03±1.58) d,the difference was statistically significant (P<0.05). The incidence of bleeding and recurrence rate were 1.89%, which were less than 13.21% and 9.43% of the control group,the difference was statistically significant (P<0.05).Conclusion The combination of internal hemorrhoids and external hemorrhoids combined with external hemorrhoids can reduce the bleeding time of the internal hemorrhoids and the off-line period, and effectively reduce the recurrence rate.

参考文献/References:

[1]林毅.中医临床诊治丛书.外科专病分册[M].北京:人民卫生出社,2000:421. [2]Rivadeneira DE,Steele SR,Tement C,et al.Practice parameters for the management of hemorrhoids (revised)2010[J].Dis Colon Rectum,2011,54(9):1059-1064. [3]吴涛,张兵,汪建,等.自动痔疮套扎术(RPH)治疗混合痔常见并发症分析及处理[J].内蒙古中医药,2016,35(4):24-25. [4]高利强,刘磊,李娟娟.RPH联合消痔灵注射加外痔切除术治疗环状混合痔86例[J].中国肛肠病杂志,2017,37(7):32-33. [5]朱春亮,洪杨华,叶志君,等.内痔套扎加消痔灵注射配合外痔切除术治疗混合痔疗效观察[J].心血管病防治知识:学术版,2017(5):129-130. [6]中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠病专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南（2006 版）[J].中华胃肠外科杂志,2006,9(5):461-463. [7]韩宝,张燕生.中国肛肠病诊疗学[M].北京:人民军医出版社,2011:176. [8]国家中医药管理局.中医病证诊断疗效标准(2012版)[M].北京:人民卫生出版社,2012:185-186. [9]王玉霞.消痔灵注射液治疗520例内痔的临床评价[J].中国现代药物应用,2018(4):83-85. [10]吕长遥,伍静,何洪波.消痔灵注射内痔术后并发症及不良反应分析和规范操作对策[J].成都医学院学报,2017,12(1):77-80. [11]徐俊娜,卢桂梅.消痔灵注射治疗内痔80例疗效观察[J].中国肛肠病杂志,2017,37(1):26-27. [12]黄秀丽,郭方研.关于痔套扎与消痔灵内注术疗效对比[J].中医临床研究,2018(3):107-109. [13]井晓峰,秦焕.RPH与PPH治疗内痔为主环状混合痔:附210例分析[J].中国现代手术学杂志,2016(1):11-15. [14]Peng BC,Jayne DG,Ho YH.Randomized trial of rubber band ligation vs.stapled hemorrhoidectomy for prolapsed piles[J].Dis Colon Rectum,2003,46(3):291-297.

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更新日期/Last Update: 2019-10-01