外剥内剪切结扎术治疗多发混合痔90例分析

    Hemorrhoidectomy using divest and scissors excisionligation technique for treatment of mixed hemorrhoid:A report of 90 cases

    • 摘要: 目的:探讨一种合理的治疗多发混合痔的手术方法,以减少术后并发症的发生。方法:180例混合痔患者随机分为治疗组和对照组,治疗组采用外剥内剪切结扎法,对照组采用传统的外切内扎术。观察术后并发症及疗程。结果:治疗组疗程平均为16.68天,对照组为24.63天。术后并发症第1天总评分:治疗组2.78±1.46,对照组6.5±1.62(P<0.01);第5天总评分:治疗组1.28±1.11,对照组5.32±1.22(P<0.01)。结论:外剥内剪切结扎术操作简单,较传统外切内扎术疗程短,并发症发生率低。

       

      Abstract: Objective: To investigate the effect of surgical therapy for mixed hemorrhoid and to find a way to decrease post-surgery complication.Methods: One hundrend and eighty patients with severe mixed hemorrhoids were randomly assigned to receive hemorrhoidectomy using divest and scissors excision-ligation technique or Milligan-Morgan hemorrhoidectomy.Post-surgery complications and duration of treatment were recorded.Results: The average treatment time was 16.68 days in group one,and 24.63 days in group two.The total score of the first day post-surgery complication was 2.78±1.46 in group one,and 6.5±1.62 in group two(P<0.01).The total score of the fifth day post-surgery complication was 1.28±1.11 in group one,and 5.32±1.22 in group two(P<0.01).Conclusions: Hemorrhoidectomy using divest and scissors excision-ligation technique is easy to operate,with the advantages of a shorter length of hospital stay and a lower complication rate.

       

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