重庆医学2017，Vol.46Issue(14)：1938-1940,3.DOI:10.3969/j.issn.1671-8348.2017.14.022
血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析
Thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoidsin the treatment of incarcerated circumferential mixed hemorrhoids
叶辉 1周启昌 1龚治林 1于杰 1黄淑娟 1郗昌磊 1曹龙磊 1钱群 2江从庆2
作者信息
- 1. 华中科技大学同济医学院附属荆州医院结直肠肛门外科,湖北荆州 434020
- 2. 武汉大学中南医院结直肠肛门外科,武汉 430071
- 折叠
摘要
Abstract
Objective To observe the clinical effect of thrombus removal of external hemorrhoid combined with procedure for prolapse and hemorrhoids(PPH) in the treatment of circumferential mixed hemorrhoid with incarceration.Methods A total of 118 cases of circumferential mixed hemorrhoid with incarceration were divided into two groups:experimental group of 60 cases was treated by thrombus removal combined with PPH;control group of 58 cases was treated by Milligan-Morgan.We observed the differences of postoperative visual analogue scale (VAS)score,edema,bleeding,residual skin tag,wound healing time,anal stenosis,fecal incontinence,anorectal manometry and satisfaction in the two groups.Results There was significant difference between the experimental group and the control group in postoperative edema,bleeding and residual skin tag(χ2=6.63,4.19,6.64,P<0.05),but postoperative anal stenosis and fecal incontinence weren′t statistically significant different(χ2=0.38,1.11,P>0.05).Postoperative VAS score,wound healing time,satisfaction,anal resting and anal maximal squeeze pressure between the two groups were all statistically different(P<0.01).Conclusion The operation of thrombus removal of external hemorrhoid combined with PPH can effectively reduce the postoperative complications and promote recovery.关键词
肛门疾病/痔/手术后并发症/血栓/痔上黏膜环切钉合术/混合痔/嵌顿/外剥内扎术Key words
anus diseases/hemorrhoids/postoperative complications/thrombus/procedure for prolapse and hemorrhoids/mixed hemorrhoid/incarceration/milligan-morgan分类
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叶辉,周启昌,龚治林,于杰,黄淑娟,郗昌磊,曹龙磊,钱群,江从庆..血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析[J].重庆医学,2017,46(14):1938-1940,3.
