【摘要】 目的:评价保留齿状线痔上黏膜套扎外痔切剥治疗混合痔的疗效。方法:将172例混合痔患者采用随机对照单盲法分为2组,治疗组行保留齿状线痔上黏膜套扎外痔切剥术治疗(86例),对照组行外剥内扎术治疗(86例)。观察2组患者术前、术后1月的症状评分及疗效,观察2组患者的术后并发症及切口愈合时间。结果:治疗后2组症状评分均较治疗前降低(P<0.05),2组疗效差异无统计学差异意义(P>0.05);2组患者的术后并发症差异无统计学意义(P>0.05),但在术后疼痛及切口愈合时间方面治疗组优于对照组,2组差异有统计学意义(P<0.05)。结论:保留齿状线痔上黏膜套扎外痔切剥术能有效治疗混合痔,减少术后疼痛、缩短愈合时间,为广大肛肠科医师门诊手术提供一种简便安全有效的新治疗方法。更多还原

【Abstract】 ObjectiveTo evaluate the clinical therapeutic effects of reserving dentate line Milligan-Mor-gan procedures plus RPH in treatment of hemorrhoids.MethodsOne hundred and 72 patients with mixedhemorrhoids were divided into two groups with randomized and single-blinded methed. A total of 86 cases(study group) were treated by reserving dentate line Milligan-Morgan procedures plus RPH,and the other 86 cas-es(control group) was simply treated by Milligan-Morgan method. Then the effects of treatment and complica-tions were compared between the two groups.ResultsThe score on symptom was lower in the study groupthan before treatment. The effect of the two groups was not different(P > 0.05). But postoperative anus pain andwound healing time in the study group were obviously better than that in the control group(P < 0.05).ConclusionReserving dentate line Milligan-Morgan procedures plus RPH is an effective, postoperative pain-less and short wound healing treatment, providing a safe and effective new treatment.更多还原