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改良外剥内扎术治疗环状混合痔的效果观察 被引量:14

Efficacy of Improved External Dissection and Internal Ligation for Circumferencial Mixed Hemorrhoid
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摘要 目的:探讨改良外剥内扎术治疗环状混合痔的临床效果。方法:选择2013年1月-2015年1月60例环状混合痔患者,随机分为对照组和观察组各30例。对照组采用常规外剥内扎术,观察组采用改良外剥内扎术。观察两组疗效、手术时间、术中出血量、住院时间,记录术后6h、12h、24h视觉模拟评分(VAS评分)和术后并发症。结果:观察组治愈率为96.67%,明显高于对照组的80.00%(P<0.05)。观察组手术时间、术中出血量和住院时间显著少于对照组(P<0.05)。观察组术后12h、24hVAS评分明显低于对照组(P<0.05)。观察组不良反应发生率为20.00%,显著低于对照组的50.00%(P<0.05)。结论:改良外剥内扎术治疗环状混合痔临床疗效优。 Objective:To investigate the efficacy of improved external dissection and internal ligation for circumferencial mixed hemorrhoid.Methods:60cases of circumferencial mixed hemorrhoid,selected from January 2013 to January2015,were randomly divided into the control group and the observation group with 30 cases in each group.The control group was given conventional external dissection and internal ligation,and the observation group received modified external dissection and internal ligation.The efficacy,operative time,blood loss,hospital stay were observed in the two groups,and visual analogue scale(VAS score)at postoperative 6h,12 h,24has well as postoperative complications were recorded.Results:The cure rate in the observation group was 96.67%,which was significantly higher than that(80.00%)in the control group(P〈0.05).The operative time,blood loss,hospital stay in the observation group were significantly less than those in the control group(P〈0.05).VAS scores at postoperative 12 h,24hin the observation group were significantly lower than those in the control group(P〈0.05).Adverse reactions rate in the observation group was 20.00%,which was significantly lower than that(50.00%)in the control group(P〈0.05).Conclusion:Improved external dissection and internal ligation for circumferencial mixed hemorrhoid had superior efficacy.
出处 《医学理论与实践》 2015年第22期3038-3039,3042,共3页 The Journal of Medical Theory and Practice
关键词 改良外剥内扎术 环状混合痔 效果 Improved external dissection and internal ligation Circumferencial mixed hemorrhoid Efficacy
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