RPH联合简化外切内扎术治疗混合痔多中心随机对照研究

发布时间：2018-06-18 17:47

本文选题：混合痔 + 选择性自动结扎疗法　；参考：《中国中西医结合杂志》2017年04期

【摘要】：目的选择性自动结扎疗法(RPH)联合简化外切内扎术治疗混合痔的安全性和有效性。方法选择1 200例混合痔患者,按照随机、平行对照、多中心试验设计方法分为对照组和治疗组,每组600例,对照组采用痔上黏膜环切吻合术(procedure for prolapse and hemorrhoids,PPH)加简化外切内扎术,治疗组采用RPH+简化外切内扎术。观察患者术后并发症、手术时间、术后住院时间及术后随访疗效。结果与对照组比较,治疗组术后大出血、尿潴留、继发性肛裂和肛门直肠狭窄例数减少(P0.01,P0.05),手术时间和术后住院时间减少(P0.01,P0.05),术后3、12个月痊愈率升高(P0.01)。结论 RPH联合简化外切内扎术治疗混合痔可以减少术后并发症,提高临床痊愈率和疗效。
[Abstract]:Objective to evaluate the safety and efficacy of selective automatic ligation (RPH) combined with simplified external ligation in the treatment of mixed hemorrhoids. Methods 1 200 patients with mixed hemorrhoids were randomly divided into two groups: control group and treatment group. The control group was divided into two groups: the control group (n = 600) and the control group (n = 600). The patients in the control group were treated with procedure for prolapse and hemorrhoids PPH plus simple external ligation. The treatment group was treated with RPH simplified external ligation. Postoperative complications, operative time, postoperative hospital stay and postoperative follow-up were observed. Results compared with the control group, the cases of massive bleeding, urinary retention, secondary anal fissure and anorectal stenosis in the treatment group were decreased, the operation time and the postoperative hospitalization time were decreased, and the recovery rate was increased at 3 and 12 months after operation. Conclusion RPH combined with simple external internal ligation for mixed hemorrhoids can reduce postoperative complications and improve clinical recovery rate and efficacy.
【作者单位】：湖南中医药大学第二附属医院肛肠科;湖南中医药大学附属常德医院肛肠科;南京中医药大学附属徐州医院肛肠科;成都中医药大学附属医院肛肠科;湖南中医药大学附属长沙医院肛肠科;南方医科大学附属郴州医院中医肛肠科;南京中医药大学第三附属医院肛肠科;武汉市第八医院中医肛肠科;湖南中医药大学附属岳阳医院肛肠科;河北省沧州中西医结合医院外五科;
【基金】：湖南省中医药科研计划资助项目(No.201503) 湖南省教育厅重点学科中医外科学开放基金项目(No.zywk-kf)
【分类号】：R657.18

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