摘要
目的 比较双重悬吊整形缝合术和外剥内扎硬注术（M-M术）治疗结缔组织型环状混合痔的临床效果.方法 选取2007年7月～2013年6月在南充市中心医院接受治疗的符合入选标准的结缔组织型环状混合痔的患者583例,分成实验组和对照组,其中实验组290例,对照组293例,实验组给予双重悬吊整形缝合术治疗,对照组给予外剥内扎硬注术（M-M术）治疗,比较两种手术方法的临床效果.结果 ①583例患者全部治愈,实验组切口数[（5.0±0.3）个]、齿线复位率[100.0％ （290/290）]、肛管复位率[100.0％ （290/290）]高于对照组[（7.0±0.4）个、27.6％（81/293）、0.0％ （0/293）],但实验组手术时间[（87.00±0.54）min]、出血量[（47.00±0.52）mL]均多于对照组[（64.00±0.13）min、（32.00±0.41）mL],差异均有统计学意义（P＜0.05）.②两组患者术后24 h内疼痛各级别构成比比较,差异有统计学意义（P＜0.05）,实验组术后疼痛情况比对照组轻.③实验组术后各项并发症发生率均低于对照组,实验组恢复时间短于对照组,差异均有统计学意义（P＜ 0.05）.④实验组获访264例,对照组获访272例,随访时间2个月～6年.结论 双重悬吊整形缝合术更适宜结缔组织型环状混合痔.
Objective To compare the clinical effect of double stitching hanging plastic surgery and external excision and internal ligation （Miligan-Morgan procedure） in the treatment of connective tissue type of circular mixed hemorrhoid.Methods 583 patients who met the criteria of tissue type of circular mixed hemorrhoid were selected in Nanchong Central Hospital,from July 2007 to June 2013.They were randomly divided into two group：290 cases in experiment group,293 cases in control group.The control group was treated with double stitching hanging plastic surgery; the experiment group was treated with external excision and internal ligation （M-M）,the clinical effect of two methods of surgery were compared.Results ①583 patients were all cured.Incision number,tooth line reset rate,anal canal reset rate in experiment group [（5.0±0.3） pieces,100.0％ （290/290）,100.0％ （290/290）] were all higher than those in control group [（7.0±0.4） pieces,27.6％ （81/293）,0.0％ （0/293）],but operation time,bleeding amount in experiment group [（87.00±0.54） min,（47.00±0.52） mL] were all higher than those in control group [（64.00±0.13） min,（32.00±0.41） mL],the differences were statistically significant （P ＜ 0.05）.②The difference of constituent ratio of each level pain within 24 hours in the two groups was statistically significant （P ＜ 0.05）.③The occurrence rate of postoperative complications in experiment group was lower than that in control group,the recovery time in experiment group was shorter than that in control group,the differences were statistically significant （P ＜ 0.05）.④264 cases were followed up in experiment group,272 cases were followed up in control group,the follow-up time was 2 months to 6 years.Conclusion Double stitching hanging plastic surgery is more suitable for connective tissue type circular mixed hemorrhoid.
出处
《中国医药导报》
CAS
2014年第4期61-63,67,共4页
China Medical Herald
关键词
结缔组织型环状混合痔
双重悬吊
整形
外剥内扎硬注术
Connective tissue type circular mixed hemorrhoid
Double hanging
Plastic
External excision and internal ligation
