中国中西医结合外科杂志2016，Vol.22Issue(3)：232-234,3.DOI:10.3969/j.issn.1007-6948.2016.03.006
外切与外剥内扎硬注术治疗环状嵌顿痔疗效比较
Efficacy Comparison of Two Operations in Internal Ligation Treatment for Circular Incarcerated Haemorrhoids
摘要
Abstract
Objective To compare the efficacy and complications of the two therapeutics to the circular in⁃carcerated hemorrhoids, by external excision and internal ligation and sclerotherapy, and by Milligan-Morgan op⁃eration and sclerosing agent injection. Methods Retrospective analysis on the clinical data of 156 circular in⁃carcerated hemorrhoids patients was done, 78 cases received external excision and internal ligation and sclero⁃therapy as group A, and 78 cases received Milligan-Morgan operation and sclerosing agent injection as group B. The changes of symptom scores, wound healing time and incidence of complications of both groups before and af⁃ter treatment were observed and compared. Results One month after treatment, the symptom scores of the ob⁃servation group and control group were (0.07 ± 0.32) and (0.06 ± 0.34) (P>0.05). The wound healing time of the observation group was significantly shorter than that of the control group (15.61 ± 2.01 vs 18.58 ± 2.81, P<0.05). The differences of the incidence of complications, including hemafecia in 1 week, perianal epicanthus, co⁃pracrasia and anorectal stenosis, between the two groups were not statistically significant (P>0.05). In the obser⁃vation group, the incidence rates of anal pain, dysuresia and edema of anal margin were 7.69%, 3.85% and 3.85% (P<0.05). Conclusion The combined treatment of external excision and internal ligation and sclero⁃therapy was effective for circular incarcerated hemorrhoids. It can effectively shorten the wound healing time and reduce the incidence of anal pain and dysuresia..关键词
外切内扎硬注术/外剥内扎硬注术/环状嵌顿痔Key words
External excision and internal ligation and sclerotherapy/Milligan-Morgan operation and scle-rosing agent injection/circular incarcerated hemorrhoids分类
医药卫生引用本文复制引用
王秦川,高红梅,刘琪峰,林谋斌..外切与外剥内扎硬注术治疗环状嵌顿痔疗效比较[J].中国中西医结合外科杂志,2016,22(3):232-234,3.基金项目
上海市科研计划项目 （）
