环状混合痔患者行外剥内扎术治疗的临床探讨(1)
【摘要】 目的：探讨外剥内扎术对环状混合痔患者的治疗效果。方法：选择2012-2013年笔者所在医院收治的环状混合痔患者80例作为研究对象，平均随机分为两组，一组患者进行外剥内扎术治疗环状混合痔，为外剥内扎术组，另一组患者进行常规的手术治疗环状混合痔，为常规组，分别对比两组手术时间、住院时间、肛门狭窄愈合时间以及患者的满意程度，同时对比两组手术产生的并发症情况，如出血、尿潴留以及肛管直肠壁血肿。结果：外剥内扎术组患者手术时间、住院时间、肛门狭窄愈合时间都明显比常规组短，同时外剥内扎术组患者对治疗效果的满意程度也比常规组高，差异有统计学意义(P<0.05)，并且外剥内扎术组患者的并发症发生率也比常规组低，差异有统计学意义(P<0.05)。结论：外剥内扎术对环状混合痔的疗效显著，值得临床手术治疗的推广和应用。
【关键词】 环状混合痔； 外剥内扎术； 并发症
中图分类号 R657.1 文献标识码 B 文章编号 1674-6805(2014)18-0117-02
Clinical Study of Milligan-Morgan in the Treatment of Ring Mixed Hemorrhoids/WEN Chu-hua，HUANG Jin-kun.//Chinese and Foreign Medical Research，2014，12(18)：117-118
【Abstract】 Objective：To investigate the effect of Milligan-Morgan in the treatment of ring mixed hemorrhoids.Method：80 cases with ring mixed hemorrhoids in author’s hospital from 2012 to 2013 were selected for the study，they were average and randomly divided into two groups，one group of patients was treated with Milligan-Morgan as Milligan-Morgan group，another group of patients for routine surgery circumferential mixed as the conventional group，respectively，the operative time，hospital stay，anal stenos healing time and patient satisfaction in two groups were compared，the complications in two groups，such as bleeding，urinary retention and anal rectal wall hematoma were compared.Result：The operative time，hospital stay，anal stenos healing time in Milligan-Morgan group were significantly shorter than those in conventional group，and satisfaction of treatment effects in Milligan-Morgan group was higher than that in conventional group，the difference was statistically significant(P<0.05)，and the complication rates in Milligan-Morgan group was significantly lower that that in conventional group，there was statistically significant difference(P<0.05).Conclusion：The effect of Milligan-Morgan is significant，it is worthy of promotion and application of clinical surgery.
【Key words】 Ring mixed hemorrhoids； Milligan-Morgan； Complications
First-author’s address：Huizhou City Tongqiao Town Health Center，Huizhou 516232，China
痔是一种最常见而且多发的直肠肛管良性疾病，在我国肛门直肠疾病中，痔发病率占80.5%[1]。混合痔是指痔位于齿状线上下，表面同时为直肠黏膜和肛管皮肤所覆盖[2]。如果混合痔围绕直肠肛管一周，则称为环状混合痔，是痔疮发展的最后阶段，手术并发症较多[3]。以往研究表明，痔是由于支持组织松弛导致肛垫下移，因下移而出现充血、水肿以及肥大出现而形成的，这是由1975年Thomson首次提出，之后经过众多医学者不断完善得出的[4]。目前手术治疗环状混合痔的难度较大，其主要原因是环状混合痔涉及的范围太大，涉及肛门一周，术后患者的疼痛很大，并且并发症的发生率也高，所以医生把治疗环状混合痔的重点放在了手术和恢复时间短、创伤小、疼痛感减轻以及并发症的减少等方面上，本次研究探讨外剥内扎术对环状混合痔的治疗影响，发现外剥内扎术比以往的常规手术更具优势，主要表现在外剥内扎术手术时间短、成功率高、环状混合痔患者的术后恢复所需时间短以及术后并发症的发生率低，现报告如下。, http://www.100md.com(温楚华 黄锦坤)
【关键词】 环状混合痔； 外剥内扎术； 并发症
中图分类号 R657.1 文献标识码 B 文章编号 1674-6805(2014)18-0117-02
Clinical Study of Milligan-Morgan in the Treatment of Ring Mixed Hemorrhoids/WEN Chu-hua，HUANG Jin-kun.//Chinese and Foreign Medical Research，2014，12(18)：117-118
【Abstract】 Objective：To investigate the effect of Milligan-Morgan in the treatment of ring mixed hemorrhoids.Method：80 cases with ring mixed hemorrhoids in author’s hospital from 2012 to 2013 were selected for the study，they were average and randomly divided into two groups，one group of patients was treated with Milligan-Morgan as Milligan-Morgan group，another group of patients for routine surgery circumferential mixed as the conventional group，respectively，the operative time，hospital stay，anal stenos healing time and patient satisfaction in two groups were compared，the complications in two groups，such as bleeding，urinary retention and anal rectal wall hematoma were compared.Result：The operative time，hospital stay，anal stenos healing time in Milligan-Morgan group were significantly shorter than those in conventional group，and satisfaction of treatment effects in Milligan-Morgan group was higher than that in conventional group，the difference was statistically significant(P<0.05)，and the complication rates in Milligan-Morgan group was significantly lower that that in conventional group，there was statistically significant difference(P<0.05).Conclusion：The effect of Milligan-Morgan is significant，it is worthy of promotion and application of clinical surgery.
【Key words】 Ring mixed hemorrhoids； Milligan-Morgan； Complications
First-author’s address：Huizhou City Tongqiao Town Health Center，Huizhou 516232，China
痔是一种最常见而且多发的直肠肛管良性疾病，在我国肛门直肠疾病中，痔发病率占80.5%[1]。混合痔是指痔位于齿状线上下，表面同时为直肠黏膜和肛管皮肤所覆盖[2]。如果混合痔围绕直肠肛管一周，则称为环状混合痔，是痔疮发展的最后阶段，手术并发症较多[3]。以往研究表明，痔是由于支持组织松弛导致肛垫下移，因下移而出现充血、水肿以及肥大出现而形成的，这是由1975年Thomson首次提出，之后经过众多医学者不断完善得出的[4]。目前手术治疗环状混合痔的难度较大，其主要原因是环状混合痔涉及的范围太大，涉及肛门一周，术后患者的疼痛很大，并且并发症的发生率也高，所以医生把治疗环状混合痔的重点放在了手术和恢复时间短、创伤小、疼痛感减轻以及并发症的减少等方面上，本次研究探讨外剥内扎术对环状混合痔的治疗影响，发现外剥内扎术比以往的常规手术更具优势，主要表现在外剥内扎术手术时间短、成功率高、环状混合痔患者的术后恢复所需时间短以及术后并发症的发生率低，现报告如下。, http://www.100md.com(温楚华 黄锦坤)