目的:评价痔上黏膜血管结扎悬吊术治疗环状混合痔的可行性和安全性.方法:采用随机对照研究,治疗组与对照组各33例患者.治疗组进行痔上黏膜血管结扎悬吊术,对照组进行吻合器痔上黏膜环形切除术.观察2组术后24h、48h、5d创面出血、局部疼痛及坠胀情况,并予评分量化比较.术后6个月随访,分析手术疗效、并发症及复发率.结果:在术后创面出血、疼痛和局部坠胀方面治疗组均显著优于对照组(P＜0.05)；治疗组治愈率为l00％,术后无尿潴留,随访6个月,无复发,无肛门狭窄.结论:痔上黏膜血管结扎悬吊术治疗环状混合痔能减轻创面出血、疼痛和局部坠胀等症状,具有疗效显著、术后并发症少、费用低等优点.%Objective:To investigate the feasibility and safety of hemorrhoid mucosal vessels with Ligation on the therapy of sling ring mixed hemorrhoids. Methods- This was a randomized, controlled study. Both the treatment group and control group of were enrolled 33 cases. The treatment group were given mucosal vascular ligation for hemorrhoids suspension surgery. The control group takes procedure for prolaps and hemorrhoid(PPH). The wound surface bleeding, pain, local bulge situation after 24 h, 48 h, 5 d and score the quantitative comparison were observed. Take the follow-up after 6 months and then analysis the efficacy and complications of surgery. Results: The wound surface bleeding, pain and the local bulge of the treatment group were significantly lower than those in the control group(P<0. 05). The healing rate in treatment group was 100% and there was no postoperative urinary retention. Followed up for 6 months, no recurrence, anal stenosis and incontinence occurred. Conclusions: Hemorrhoid mucosal blood vessels with Ligation on the therapy of sling ring mixed hemorrhoids can reduce the wound bleeding, pain and symptoms of local bulge with better effect,fewer complications and lower cost.
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