雙開環TST聯合內扎外剝術治療混合痔的臨床效果觀察

馮寶華　何飛　孫德云

[摘要] 目的 對雙開環TST聯合內扎外剝術在混合痔中的治療效果進行調查。方法 整群選擇該院2014年1月—2015年1月間68例混合痔患者，將所有患者分為兩組，對照組患者采用單純內扎外剝治療，實驗組患者采用雙開環TST聯合內扎外剝術進行治療，對兩組患者的治療效果進行比較。 結果 兩組患者術后均存在疼痛表現，實驗組患者有21例便秘、5例感染、11例排便困難、12例排尿困難、9例肛門水腫病例；對照組患者有34例疼痛、19例便秘、7例感染、27例排便困難、20例排尿困難、18例肛門水腫病例，兩組患者比較差異有統計學意義（P<0.05）。實驗組患者治療后三個月疾病復發率為2.94%；對照組為17.64%，兩組患者比較差異有統計學意義（P<0.05）。實驗組疼痛分級為Ⅰ級的14例，Ⅱ級的19例，Ⅲ級的1例；對照組患者疼痛分級為Ⅰ級的7例，Ⅱ級的20例，Ⅲ級的7例，兩組比較差異有統計學意義（P<0.05）。實驗組患者排便困難分級、疼痛分級、肛門水腫分級情況均要明顯好于對照組，兩組比較差異有統計學意義（P<0.05）。結論 雙開環TST聯合內扎外剝術在混合痔中的治療效果非常顯著，能夠減輕患者痛苦。

[關鍵詞] 雙開環TST；內扎外剝；混合痔；臨床效果

[中圖分類號] R59 [文獻標識碼] A [文章編號] 1674-0742（2015）08（b）-0001-03

[Abstract] Objective To investigate the clinical effect of double open-loop TST combined with internal ligation and external dissection on mixed hemorrhoids. Methods 68 cases with mixed hemorrhoids admitted in the hospital from January 2014 to January 2015 were selected and divided into two groups， the control group and the experimental group. The control group was given internal ligation and external dissection， and the experimental group was given double open-loop TST combined with internal ligation and external dissection. And the treatment effects of these two groups were compared. Results Both groups had postoperative pain. In the experimental group， there were 21 cases with constipation， 5 cases with infection， 11 cases with difficult defecation， 12 cases with dysuria， 9 cases with anal edema， and in the control group， there were 34 cases with pain， 19 cases with constipation， 7 cases with infection， 27 cases with difficult defecation， 20 cases with dysuria， 18 cases with anal edema， with significant differences between the two groups， P<0.05. Three months after the treatment， the relapse rate of the experimental group was 2.94%， and that of the control group was 17.64%， with significant difference between groups， P<0.05. In the experimental group， there were 14 cases with gradeⅠpain， 19 cases with grade Ⅱpain， 1 case with grade Ⅲ pain； and in the control group， there were 7 cases with grade Ⅰ pain， 20 cases with grade Ⅱ pain， 7 cases with grade Ⅲ pain， with significant difference between the two groups， P<0.05. The grades of difficult defecation， pain， anal edema in the experimental group were all significantly better than those in the control group， with significant differences， P<0.05. Conclusion For patients with mixed hemorrhoids， double open-loop TST combined with internal ligation and external dissection can reduce the suffering with significant effect.