摘要
目的:探讨外剥内扎联合弧形皮内连续缝合术治疗环状混合痔的临床疗效。方法:随机选取环状混合痔患者162例,以随机数字表分组,分为治疗组、对照组,每组81例。治疗组采用外剥内扎联合弧形皮内连续缝合术,对照组采用外剥内扎术,比较两组的并发症及疗效。结果:治疗组总体有效率为96%,对照组总体有效率为87%,有显著性差异(P<0.05)。两组在术后疼痛、肛缘水肿、尿潴留、住院时间方面有统计学差异,治疗组优于对照组(P<0.05)。结论:外剥内扎联合弧形皮内连续缝合术愈合更快,肛周疤痕小,能有效的减少术后并发症,手术安全可行。
Objective To investigate the clinical efficacy of milligan-morgan operation combined with intraocular continuous suture for the treatment of annular mixed hemorrhoids. Methods A total of 162 patients with annular mixed hemorrhoids were randomly divided into treatment group and control group (n =81). The patients in treatment group were treated with milligan-morgan operation combined with intraocular continuous suture, and the patients in control group were treated with milligan-morgan operation. The complications and efficacy of the two groups were compared. Results The overall effective rate was 96% in the treatment group and 87% in the control group, with a significant difference (P <0.05). There were statistical differences in postoperative pain, anal edema, urinary retention, and hospitalization time. The treatment group was superior to the control group (P <0.05). Conclusion Milligan-morgan operation combined with intraocular continuous suture can heal faster, and the perianal scar is small, which can effectively reduce postoperative complications, and the operation is safe and feasible.
作者
陈龑
张少军
闵丽
应光耀
高洪娣
CHEN Yan;ZHANG Shao-jun;MIN Li(Department of Anorectal, Jiading Hospital of Traditional Chinese Medicine, Shanghai (201800), China)
出处
《中国中西医结合外科杂志》
CAS
2019年第4期478-481,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
上海市嘉定区卫生和计划生育委员会中医药科研课题（2016-KY-ZYY-04）
关键词
弧形皮内连续缝合术
混合痔
并发症
Curved intradermal continuous suture
mixed hemorrhoids
complications
