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外科研究与新技术（中英文）

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (4): 241-243.doi: 10.3969/j.issn.2095-378X.2020.04.006

• 论著 • 上一篇    下一篇

小切口加悬吊固定术治疗重度环状混合痔的临床观察

赵锦祥1, 董军1, 杨其良2   

  1. 1.苏州同济医院肛肠科,江苏 苏州 215000;
    2.上海市金山亭林医院中医科,上海 201505
  • 收稿日期:2020-09-02 发布日期:2021-05-31
  • 通讯作者: 杨其良,电子信箱：tlyyql@163.com
  • 作者简介:赵锦祥（1974—）男,大学本科,主治医师,从事临床肛肠科工作

Clinical observation of mini incision and suspension fixation to treat severe circular mixed hemorrhoids

ZHAO Jinxiang1, DONG Jun1, YANG Qiliang2   

  1. 1. Department of Anorectal, Tongji Hospital, Suzhou 215000, Jiangsu, China;
    2. Department of Traditional Chinese Medicine, Jinshan Tinglin Hospital, Shanghai 201505, China
  • Received:2020-09-02 Published:2021-05-31

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摘要： 目的 观察小切口加悬吊固定术治疗重度环状混合痔的临床疗效。方法 选取收治的重度环状混合痔患者144例,随机分为对照组和治疗组,对照组予以传统外剥内扎术治疗,治疗组采用小切口加悬吊固定术治疗。对比两组患者的手术疗效和术后疼痛、水肿、出血,以及肛门狭窄情况和创面愈合时间。结果 小切口加悬吊固定术与传统外剥内扎术相比治愈率相当,但在术后疼痛、出血、水肿以及肛门狭窄情况和创面愈合时间等方面存在差异,两组比较具有统计学意义（P<0.05）。结论 小切口加悬吊固定术治疗重度环状混合痔疗效确切,具有创面小、疼痛轻、出血少、水肿率低以及创面愈合时间短,并发肛门狭窄率低等特点。

关键词: 重度环状混合痔, 小切口加悬吊固定术, 临床观察

Abstract: Objective To observe the clinical effect of mini incision and suspension fixation on severe circular mixed hemorrhoids. Methods A total of 144 patients with severe circular mixed hemorrhoids were randomly divided into a control group and a treatment group. The control group was treated with traditional external stripping and internal ligation, while the treatment group was treated with mini incision and suspension fixation. Operation effect, postoperative pain, edema, bleeding, anal stenosis, and wound healing time were compared between the two groups. Results The curative rate of mini incision and suspension fixation was similar to that of traditional external stripping and internal ligation, but there were significant differences in postoperative pain,bleeding, edema, anal stenosis, and wound healing time between the two groups （P<0.05）. Conclusion Mini incision and suspension fixation is effective in the treatment of severe circular mixed hemorrhoids, with small wound, little pain, less bleeding, a low edema rate,short wound healing time, and a low rate of anal stenosis.

Key words: Severe circular mixed hemorrhoids, Mini incision and suspension fixation, Clinical observation

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