中医杂志2026，Vol.67Issue(7)：747-754,8.DOI:10.13288/j.11-2166/r.2026.07.009
中医与西医手术操作治疗混合痔近期疗效及远期复发率的比较
Short-Term Efficacy and Long-Term Recurrence Rate of Traditional Chinese Medicine Versus Western Surgical Treatment for Mixed Hemorrhoids:A Multi-Center Retrospective Cohort Study Based on Real-World Data
摘要
Abstract
Objective To observe the short-term and long-term efficacy of traditional Chinese medicine(TCM)surgical operations in treating mixed hemorrhoids.Methods A multi-center retrospective cohort study was conducted,collecting clinical data from 17,831 mixed hemorrhoid surgery patients in 8 top-tier TCM hospitals in Jiangsu Province.Standardized and structured datasets were obtained through artificial intelligence models.Patients who underwent western surgical treatment were categorized into the western surgery group(11,646 cases),and those receiving TCM surgical operations were categorized into the TCM surgery group(6185 cases).Propensity score matching(1∶1 matching)was used to balance baseline data between groups.The primary outcome was the one-year recurrence rate,and sec-ondary outcomes included the main symptoms(rectal bleeding,degree of prolapse)and secondary symptoms(anal distension,anal edema,wound secretion and exudation,anal stenosis,residual skin tags,perianal itching,and anal pain)measured on days 7,28,and 60 after discharge.Results After matching,2194 patients were included in each group.Symptom scores showed that at 28 days after discharge,the TCM surgical group had superior improvement in rectal bleeding[OR=5.786,95％CI(3.092,10.827)],degree of prolapse[OR=4.510,95％CI(1.649,12.333)],and anal edema[OR=3.188,95％CI(1.295,7.845)]compared to the western surgical group.At 60 days post-discharge,the TCM group still showed advantages in improving rectal bleeding[OR=5.237,95％CI(1.077,25.464)]and anal pain[OR=11.697,95％CI(1.186,115.336)](P＜0.05).Long-term follow-up showed that the one-year recurrence rate in the TCM surgery group was 1.1％(8/726),while that in the western surgery group was 2.3％(10/444),with no statistically significant difference between the two groups(P＞0.05).Conclusion Based on real-world data,TCM surgical treatment for mixed hemorrhoids shows significant short-term symptom improvement,particularly in terms of hemostasis,reducing swelling,and alleviating prolapse of anal masses.关键词
混合痔/混合痔外剥内扎术/枯痔注射/内痔套扎Key words
mixed hemorrhoids/excision of external hemorrhoids and ligation of internal hemorrhoids/atrophied hemorrhoids injection/internal hemorrhoid ligation引用本文复制引用
丁康,黄士财,章阳,樊志敏,周小杰,王晓骁,葛媛媛,朱慧婷,朱雨欣,杨霞,杜骏..中医与西医手术操作治疗混合痔近期疗效及远期复发率的比较[J].中医杂志,2026,67(7):747-754,8.基金项目
南京市医疗机构中药制剂研究项目(NJCC-ZJ-202413) （NJCC-ZJ-202413）
江苏省中医肛肠疾病临床医学创新中心重点项目(苏中医科教函[2023]1号) （苏中医科教函[2023]1号）
江苏省医院协会医院管理创新课题(JSYGY-3-2023-515,JSYGY-2-2023-507) （JSYGY-3-2023-515,JSYGY-2-2023-507）
江苏省中医药学会项目(XYLD2024003) （XYLD2024003）
江苏省中医药科技发展计划项目(ZD202226) （ZD202226）
