病理性肛管修复术治疗环状混合痔的临床观察

发布时间：2018-04-20 03:07

本文选题：环状混合痔 + 病理性肛管　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的:观察病理性肛管修复术(PPH联合外痔环切缝合术)治疗环状混合痔的疗效。方法:将60例符合标准的环状混合痔患者随机分为治疗组和对照组,每组各30例,治疗组患者采用病理性肛管修复术(PPH联合外痔环切缝合术)治疗,对照组患者采用PPH联合外剥内扎术治疗。观察记录两组患者总体疗效,手术一般情况及术后近期和远期并发症,并运用统计学方法处理相关数据。结果:病理性肛管修复术治愈率较PPH联合外剥内扎术高,并能够明显缩短住院时间和创面愈合时间,减轻术后疼痛、肛缘水肿和肛门下坠感,术后较少发生出血、尿潴留和排便困难,避免肛缘残留皮赘,避免发生肛门狭窄,并能更有效的保护肛门功能不受损伤。结论:病理性肛管修复术能够一次性治愈环状混合痔,并能降低术后并发症的发生率,减轻术后不适,有效保护肛门正常解剖结构和生理功能,且肛门外观较为美观,是治疗环状混合痔的一种安全、高效的手术方式。
[Abstract]:Objective: to observe the therapeutic effect of PPH combined with circumcision and suture of external hemorrhoids in the treatment of circular mixed hemorrhoids. Methods: sixty patients with circumferential mixed hemorrhoids were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in treatment group were treated with PPH combined with external hemorrhoidectomy. The patients in the control group were treated with PPH combined with external stripping and internal ligation. To observe and record the general curative effect, the general situation of operation and the short and long term complications of the two groups, and to deal with the related data by statistical method. Results: the cure rate of pathological anal canal repair was higher than that of PPH combined with external exfoliation and internal ligation, and it could significantly shorten the time of hospitalization and wound healing, relieve postoperative pain, anal edema and anal fall, and less bleeding after operation. Urinary retention and defecation are difficult to avoid anal residual dermatophyte avoid anal stenosis and can more effectively protect anal function from injury. Conclusion: pathological anal canal repair can cure annular mixed hemorrhoids once, reduce the incidence of postoperative complications, relieve postoperative discomfort, effectively protect the normal anus anatomical structure and physiological function, and the appearance of anus is more beautiful. It is a safe and effective surgical method for the treatment of circular mixed hemorrhoids.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.18

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