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PPH加外痔切除术治疗环状混合痔的临床应用 被引量:1

Clinical Application of PPH and External Hemorrhoids Excision in the Treatment of Circular Mixed Hemorrhoids
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摘要 目的:研究PPH加外痔切除术治疗环状混合痔的临床应用疗效。方法:研究纳入的对象来源于2014年4月~2015年7月某院收治环状混合痔患者中随机抽取的83例,随机分为传统组41例和联合术组42例。传统组实施外切内扎术治疗,联合术组实施PPH加外痔切除术治疗。比较:(1)环状混合痔痊愈率和总有效率;(2)疼痛积分、水肿积分、排尿积分、住院时间;(3)患者肛门狭窄等并发症发生率的差异。结果:(1)联合术组较之传统组环状混合痔痊愈率和总有效率更高,P<0.05;(2)联合术组疼痛积分、水肿积分、排尿积分、住院时间明显优于传统组,P<0.05;(3)联合术组较之传统组肛门狭窄等并发症发生率更低,P<0.05。结论:PPH加外痔切除术治疗环状混合痔的临床应用效果确切,可减少肛门括约肌功能损伤,减轻患者痛苦,符合肛门生理,可缩短术后住院时间,值得推广。 Objective:To study the effect of clinical application of PPH and external hemorrhoids excision in the treatment of circular mixed hemorrhoids.Methods:The study objects included 83 patients who were randomly selected in a hospital from April 2014 to July 2015.The above 83 cases of patients with circular mixed hemorrhoids were randomly divided into 41 cases of traditional group and 42 cases of combined operation group.The traditional group was treated with internal ligation plus cutting,and the combined operation group was treated with PPH plus external hemorrhoids resection.Comparison:(1)The cure rate and total effective rate of circular mixed hemorrhoids;(2)Pain score,edema score,micturition score,length of stay in hospital;(3)The difference of the incidence of complications such as archostegnosis.Results:(1)Compared with the traditional group,the cure rate and total effective rate of circular mixed hemorrhoids of combined operation group was higher,P〈0.05;(2)Pain score,edema score,voiding integral,hospitalization time of the combined operation group is better than the traditional group,P〈0.05;(3)The incidence of anal stenosis of the combined operation group is lower than that of the traditional group,P〈0.05.Conclusion:The clinical effect of PPH and external hemorrhoids resection in the treatment of circular mixed hemorrhoids is exact,and they can reduce the injury of the function of anal sphincter,relieve the pain of patients,and they are consistent with anal physiology,and can shorten the hospitalization time after operation,so they are worthy of promotion.
出处 《数理医药学杂志》 2017年第8期1139-1141,共3页 Journal of Mathematical Medicine
关键词 PPH加外痔切除术 环状混合痔 临床应用疗效 PPH combined with external hemorrhoid excision circular mixed hemorrhoids clinical application effect
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