[1]吴在富,沈词伟.RPH联合外剥内扎术治疗混合痔的临床效果及对患者术后24 h疼痛程度的影响[J].医学信息,2026,39(01):154-157.[doi:10.3969/j.issn.1006-1959.2026.01.029]
　WU Zaifu,SHEN Ciwei.Clinical Effect of RPH Combined with Milligan-Morgan Hemorrhoidectomy in the Treatmentof Mixed Hemorrhoids and its Effect on Pain Degree at 24 h After Operation[J].Journal of Medical Information,2026,39(01):154-157.[doi:10.3969/j.issn.1006-1959.2026.01.029]
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RPH联合外剥内扎术治疗混合痔的临床效果及对患者术后24 h疼痛程度的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
39卷
期数:
2026年01期
页码:
154-157
栏目:
照护实践信息
出版日期:
2026-01-01

文章信息/Info

Title:
Clinical Effect of RPH Combined with Milligan-Morgan Hemorrhoidectomy in the Treatmentof Mixed Hemorrhoids and its Effect on Pain Degree at 24 h After Operation
文章编号:
1006-1959（2026）01-0154-04
作者:
吴在富; 沈词伟
上饶市中医院肛肠科，江西 上饶 334000
Author(s):
WU Zaifu;  SHEN Ciwei
Department of Anorectal, Shangrao Hospital of Traditional Chinese Medicine, Shangrao 334000, Jiangxi, China
关键词:
自动痔疮套扎术; 外剥内扎术; 混合痔
Keywords:
Ruiyun procedure for hemorrhoid;  Milligan-Morgan hemorrhoidectomy;  Mixed hemorrhoids
分类号:
R657.1+8
DOI:
10.3969/j.issn.1006-1959.2026.01.029
文献标志码:
A
摘要:
目的 观察自动痔疮套扎术（RPH）联合外剥内扎术治疗混合痔的临床效果及对患者术后24 h疼痛程度的影响。方法 采用随机数字表法将2021年1月-2023年12月我院治疗的62例混合痔患者分为对照组和观察组，各组31例。对照组采用单纯RPH术治疗，观察组采用RPH联合外剥内扎术治疗，比较两组临床手术指标、术后24 h疼痛程度（VAS评分）、临床效果、肛门功能（Wexner评分）及术后并发症发生率。结果 与对照组相比，观察组临床手术指标更优（手术时间、创面愈合时间、住院时间更短，术中出血量更少）（P＜0.05）；与对照组术后24 h疼痛程度比较，观察组术后24 h VAS评分更低（P＜0.05）；观察组治疗总有效率（96.77%）较对照组（83.87%）升高（P＜0.05）；在肛门功能方面，两组术后Wexner评分均低于术前，且与对照组相比，观察组术后Wexner评分更低（P＜0.05）；随访3个月，观察组并发症发生率（9.68%）较对照组（22.58%）降低（P＜0.05）。结论 在混合痔临床治疗中，采用RPH联合外剥内扎术治疗在改善临床手术指标、减轻术后24 h疼痛度、提升肛门功能、降低术后并发症发生率方面具有积极作用。
Abstract:
Objective To observe the clinical effect of Ruiyun procedure for hemorrhoid (RPH) combined with Milligan-Morgan hemorrhoidectomy in the treatment of mixed hemorrhoids and its effect on pain degree at 24 h after operation. Methods By using the random number table method, totally 62 mixed hemorrhoids patients treated in our hospital from January 2021 to December 2023 were divided into two groups: control group and observation group, each group had 31 patients. In the control group, patients were treated with RPH alone, whereas those in the observation group received RPH combined with Milligan-Morgan haemorrhoidectomy. The clinical operation indexes, pain degree (VAS score) at 24 h after operation, clinical effect, anal function (Wexner score) and incidence of postoperative complications were compared between the two groups. Results Compared with the control group, the clinical operation indexes of the observation group were better (operation time, wound healing time, hospitalization time were shorter, intraoperative bleeding volume was less) (P<0.05). Compared with the pain degree at 24 h after operation in the control group, the VAS score at 24 h after operation in the observation group was lower (P<0.05). The observation group showed a higher total effective rate (96.77%) compared with the control group (83.87%) (P<0.05). In terms of anal function, the postoperative Wexner score of the two groups was lower than that before operation, and the postoperative Wexner score of the observation group was lower than that of the control group (P<0.05). Followed up for 3 months, The observation group exhibited a lower incidence of complications (9.68%) than the control group (22.58%) (P<0.05). Conclusion In the clinical treatment of mixed hemorrhoids, RPH combined with Milligan-Morgan hemorrhoidectomy has a positive effect in improving clinical surgical indexes, reducing 24 h pain degree after operation, improving anal function, and reducing the incidence of postoperative complications.

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更新日期/Last Update: 1900-01-01