必威体育精装版分段外剥内扎注射术加皮桥整形术治疗环状混合痔的临床研究.pdf

摘 要 目的：观察和评价分段外剥内扎注射术加皮桥整形术治疗环状混合痔的临床疗效。 方法：将符合标准的病例随机分为治疗组和对照组各30 例，治疗组采取分段外剥内 扎注射术加皮桥整形术，对照组采取外剥内扎术。观察两组临床疗效及术后并发症， 评价其治疗效果。 结果：运用分段外剥内扎注射术加皮桥整形术治疗环状混合痔与传统外剥内扎术相 比，两组间在临床治愈率、术后便血、肛门疼痛 （术后第7 天）、术后感染等方面， 比较均无统计学意义(P0.05)；两组间在肛门疼痛（术后24 小时及首次排便时）、肛 缘水肿、肛门狭窄、肛缘皮赘残留方面，比较均有统计学意义(P0.05)。 结论：分段外剥内扎注射术加皮桥整形术在保证治愈率的基础上，能更好地保护肛门 的正常结构和功能，减少术后并发症及后遗症，是一种安全有效的治疗环状混合痔的 方法，值得临床推广应用。 关键词: 分段外剥内扎注射术；皮桥整形术；环状混合痔；临床研究 Clinical study of the segmented external excision and internal ligation and injectionwith skin flap bridge operation in the treatment of circumferential mixed hemorrhoids Abstract Objective: Observation and evaluation on effect on Circumferential mixed hemorrhoids by the segmented external excision and internal ligation and injection with skin bridge plastic operation． Methods: Will meet the criteria were randomly divided into treatment group and control group with 30 cases in each group. The therapeutic group took the segmented external excision and internal ligation and injection with skin flap bridge operation, and the control group took the Milligan-Morgan hemorrhoidectomiy. Observe two groups of clinical efficacy and postoperative complications, to evaluate the effect of treatment. Results: Using the segmented external excision and internal ligation and injection with skin flap bridge operation in the treatment of circumferential mixed hemorrhoids compared with the traditional Milligan-Morgan hemorrhoidectomy，two groups of patients in the clinical cure rate, postoperative bleeding, anal pain (after 7 days), postoperative infection, were no significance (P0.05). Two groups of patients in terms of anal pain (24 hours after operation and the first defecation time), anal margin of edema, anal stricture, perianal skin tag legacy, were statistically significant (P0.05). Conclus