改良外剥内扎硬注术对环状混合痔患者的临床疗效
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摘要
目的:探讨改良外剥内扎硬注术对环状混合痔患者的临床疗效。方法:选取2013年3月-2019年2月笔者所在医院收治的环状混合痔患者84例,根据患者的意愿分为对照组和研究组,各42例。对照组实施传统外剥内扎硬注术治疗,研究组实施改良外剥内扎硬注术治疗,对两组治疗前后生活质量、疼痛评分及并发症情况进行比较。结果:治疗后,两组生活质量评分均高于治疗前,对照组生活质量评分均低于研究组(P<0.05)。对照组疼痛评分显著高于研究组(P<0.05)。对照组并发症发生率显著高于研究组(P<0.05)。结论:对环状混合痔患者实施改良后的外剥内扎硬注术进行治疗,可显著缓解疼痛程度,降低并发症的同时可提高生活质量,值得广泛推广应用。
Objective:To investigate the clinical effect of modified external excision and internal ligation and sclerotherapy in patients with annular mixed hemorrhoids.Method:84 cases of patients with annular mixed hemorrhoids were selected in our hospital from March 2013 to February 2019,according to the wishes of patients divided into the control group and the research group,42 cases in each group.The control group was given traditional external excision and internal ligation and sclerotherapy,and the research group was given modified external excision and internal ligation and sclerotherapy.The quality of life and pain scores before and after treatment,and complications were compared between the two groups.Result:After treatment,the quality of life scores were higher than those before treatment,and the quality of life scores in the control group were lower than those of the research group(P<0.05).The pain scores in the control group were significantly higher than those of the research group(P<0.05).The incidence of complications in the control group was significantly higher than that of the research group(P<0.05).Conclusion:The modified external excision and internal ligation and sclerotherapy for the treatment of annular mixed hemorrhoids can significantly alleviate the pain of patients,reduce the incidence of complications and improve the quality of life,which is worthy of wide application.
Objective:To investigate the clinical effect of modified external excision and internal ligation and sclerotherapy in patients with annular mixed hemorrhoids.Method:84 cases of patients with annular mixed hemorrhoids were selected in our hospital from March 2013 to February 2019,according to the wishes of patients divided into the control group and the research group,42 cases in each group.The control group was given traditional external excision and internal ligation and sclerotherapy,and the research group was given modified external excision and internal ligation and sclerotherapy.The quality of life and pain scores before and after treatment,and complications were compared between the two groups.Result:After treatment,the quality of life scores were higher than those before treatment,and the quality of life scores in the control group were lower than those of the research group(P<0.05).The pain scores in the control group were significantly higher than those of the research group(P<0.05).The incidence of complications in the control group was significantly higher than that of the research group(P<0.05).Conclusion:The modified external excision and internal ligation and sclerotherapy for the treatment of annular mixed hemorrhoids can significantly alleviate the pain of patients,reduce the incidence of complications and improve the quality of life,which is worthy of wide application.
引文
[1]叶辉,周启昌,龚治林,等.血栓剥除联合痔上黏膜环切钉合术治疗嵌顿性环状混合痔的疗效分析[J].重庆医学,2017,4(14):72-74.
[2]李帅军,李梅,许崇斯,等.老年混合痔患者自动痔疮套扎术、吻合器痔上黏膜环切术和改良外剥内扎术的疗效对比[J].中国老年学杂志,2018,11(2):403-405.
[3]操作亮.补肾活血汤对前列腺增生经尿道电切术后的疗效及性激素的影响分析[J].辽宁中医杂志,2019,46(1):102-105.
[4]Long Q,Li Y,Li J,et al.Clinical observation of electroacupuncture combined with auricular point sticking therapy for anal pain of mixed hemorrhoid after external excision and internal ligation[J].Zhongguo Zhen Jiu,2018,38(6):580.
[5]张强,何春梅,陆金根.基于“治未病”扩肛法联合中药熏洗预防环状混合痔术后并发症的疗效评价[J].中国全科医学,2017,7(S2):337-339.
[6]徐春艳,贾小强,王栋,等.高悬低切术式治疗混合痔的临床观察[J].中国中西医结合杂志,2018,38(11):61-64.
[7]钟萍,赵耀瑞,杨福江,等.逼尿肌活力低下对良性前列腺梗阻患者经尿道前列腺切除术疗效的影响[J].中华泌尿外科杂志,2017,38(11):815-819.
[8]于成伟,刘畅,崔玉峰,等.痔上黏膜环切吻合术联合小切口外剥内扎术治疗环状混合痔168例的疗效观察[J].中国基层医药,2018,5(1):2122-2125.
[9]宋扬,徐天舒,钱海华.电针大肠俞、承山、二白穴对混合痔术后并发症的疗效观察[J].针刺研究,2017,5(42):536.
[10]龙庆,李艳,李俊,等.电针联合耳穴贴压治疗混合痔外剥内扎术后肛门疼痛临床研究[J].中国针灸,2018,38,357(6):16-20.
[11]He Y H,Tang Z J,Xu X T,et al.Treatment of mixed hemorrhoids by RPH with the simplified milligan-morgan surgery:a multi-center,randomized,controlled clinical trial[J].Chinese Journal of Integrated Traditional and Western Medicine,2017,37(4):422-425.
[12]吴本升,杨建华,王晓鹏,等.紫黄生肌膏联合中药熏洗促进混合痔术后创面愈合的临床观察[J].中华中医药杂志,2019,34(1):421-424.
[13]陈莹璐,钟传篪,徐月,等.龙血竭胶囊合九华膏对环状混合痔术后创面促愈作用及对新生血管形成的影响[J].中国实验方剂学杂志,2017,9(8):186-191.
[14]何颖华,智建文,贾菲,等.揿针耳穴疗法治疗混合痔外剥内扎术后疼痛的临床效果[J].中国中医基础医学杂志,2018,24(9):102-104,130.
[15]戴春红,朱宝山,胡宇,等.痔核剥离、溃疡面切除联合内括约肌侧方切断术治疗Ⅲ期混合痔伴肛裂的疗效分析[J].中国普通外科杂志,2017,5(26):540.
[2]李帅军,李梅,许崇斯,等.老年混合痔患者自动痔疮套扎术、吻合器痔上黏膜环切术和改良外剥内扎术的疗效对比[J].中国老年学杂志,2018,11(2):403-405.
[3]操作亮.补肾活血汤对前列腺增生经尿道电切术后的疗效及性激素的影响分析[J].辽宁中医杂志,2019,46(1):102-105.
[4]Long Q,Li Y,Li J,et al.Clinical observation of electroacupuncture combined with auricular point sticking therapy for anal pain of mixed hemorrhoid after external excision and internal ligation[J].Zhongguo Zhen Jiu,2018,38(6):580.
[5]张强,何春梅,陆金根.基于“治未病”扩肛法联合中药熏洗预防环状混合痔术后并发症的疗效评价[J].中国全科医学,2017,7(S2):337-339.
[6]徐春艳,贾小强,王栋,等.高悬低切术式治疗混合痔的临床观察[J].中国中西医结合杂志,2018,38(11):61-64.
[7]钟萍,赵耀瑞,杨福江,等.逼尿肌活力低下对良性前列腺梗阻患者经尿道前列腺切除术疗效的影响[J].中华泌尿外科杂志,2017,38(11):815-819.
[8]于成伟,刘畅,崔玉峰,等.痔上黏膜环切吻合术联合小切口外剥内扎术治疗环状混合痔168例的疗效观察[J].中国基层医药,2018,5(1):2122-2125.
[9]宋扬,徐天舒,钱海华.电针大肠俞、承山、二白穴对混合痔术后并发症的疗效观察[J].针刺研究,2017,5(42):536.
[10]龙庆,李艳,李俊,等.电针联合耳穴贴压治疗混合痔外剥内扎术后肛门疼痛临床研究[J].中国针灸,2018,38,357(6):16-20.
[11]He Y H,Tang Z J,Xu X T,et al.Treatment of mixed hemorrhoids by RPH with the simplified milligan-morgan surgery:a multi-center,randomized,controlled clinical trial[J].Chinese Journal of Integrated Traditional and Western Medicine,2017,37(4):422-425.
[12]吴本升,杨建华,王晓鹏,等.紫黄生肌膏联合中药熏洗促进混合痔术后创面愈合的临床观察[J].中华中医药杂志,2019,34(1):421-424.
[13]陈莹璐,钟传篪,徐月,等.龙血竭胶囊合九华膏对环状混合痔术后创面促愈作用及对新生血管形成的影响[J].中国实验方剂学杂志,2017,9(8):186-191.
[14]何颖华,智建文,贾菲,等.揿针耳穴疗法治疗混合痔外剥内扎术后疼痛的临床效果[J].中国中医基础医学杂志,2018,24(9):102-104,130.
[15]戴春红,朱宝山,胡宇,等.痔核剥离、溃疡面切除联合内括约肌侧方切断术治疗Ⅲ期混合痔伴肛裂的疗效分析[J].中国普通外科杂志,2017,5(26):540.