解放军医学院学报2018，Vol.39Issue(2)：130-132,3.DOI:10.3969/j.issn.2095-5227.2018.02.011
内套外切保留肛管术治疗环状混合痔的疗效观察
Ruiyun procedure for hemorrhoids combined with external hemorrhoids excision on circular mixed hemorrhoid
霍旺 1徐慧岩 1曹科 1叶宇飞1
作者信息
- 1. 解放军总医院 中医科肛肠病区, 北京 100853
- 折叠
摘要
Abstract
Objective To observe the clinical effect of Ruiyun Procedure for Hemorrhoids (RPH) combined with external hemorrhoids excision on circular mixed hemorrhoid. Methods Two hundred and five cases with circular mixed hemorrhoid admitted to our hospital from September 2016 to March 2017 were randomly divided into two groups. Patients in treatment group (n=110) were treated by RPH combined with external hemorrhoids excision and those in control group (n=95) were treated by Milligan-Morgan operation. The effect and complications including postoperative pain, hemorrhage, uroschesis, anus stenosis, tenesmus and edema around the edge of wound, as well as the days for wound healing were observed and compared in two groups. Results The cure rate (89％ vs 85％) and tenesmus score [(2.16 ±0.50) vs (2.42 ±0.61)] had no statistically significant difference between two groups (All P ＞ 0.05). However, there were significant differences in anus stenosis score [(0.75±0.55) vs (1.15±0.59)], postoperative VAS score [(4.15±0.81) vs (5.05±1.00)], hemorrhage score [(0.90±0.64) vs (1.60±0.75)], uroschesis [(1.00± 0.56) vs (1.45±0.69)], edema score [(0.95±0.61) vs (1.45±0.61)], and the days for wound healing [(20.35±2, 62) d vs (24.85± 2.50) d] between treatment group and control group (all P ＜ 0.05). Conclusion RPH combined with external hemorrhoids excision is effective and safe for circular mixed hemorrhoid, which is worthy of clinical application.关键词
内痔套扎术/Milligan-Morgan术/环状混合痔Key words
ruiyun procedure for hemorrhoids/Milligan-Morgan/circular mixed hemorrhoid分类
医药卫生引用本文复制引用
霍旺,徐慧岩,曹科,叶宇飞..内套外切保留肛管术治疗环状混合痔的疗效观察[J].解放军医学院学报,2018,39(2):130-132,3.
