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消痔灵"三位一体法"注射治疗混合痔的临床疗效

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目的:探讨消痔灵注射直肠瓣、直肠黏膜、痔核"三位一体法"治疗混合痔的临床疗效。方法:选取2022年1~9月临沂市中医医院收治的80例混合痔患者为研究对象,随机分为观察组和对照组,各40例。对照组采用外剥内扎术治疗,观察组采用消痔灵注射直肠瓣、直肠黏膜、痔核"三位一体法"结合外剥内扎术治疗。比较2组近期手术总体疗效、术后肛门疼痛及水肿程度、创面愈合时间,以及术后3个月每次排便时间、肛门不尽感及肛门狭窄情况。结果:观察组(100%)和对照组(97。5%)治愈率比较差异无统计学意义,P>0。05。观察组术后第1、5、7、14天肛门疼痛及水肿评分低于对照组,P<0。05。观察组创面愈合时间短于对照组,P<0。05。术后3个月,观察组每次排便时间明显短于对照组,排便不尽感和肛门狭窄发生率明显低于对照组,P<0。05。结论:与外剥内扎术相比,消痔灵注射直肠瓣、直肠黏膜、痔核"三位一体法"结合外剥内扎术治疗混合痔临床疗效确切,疼痛、水肿更轻,创面愈合时间更短,肛门狭窄发生率更低,肛门功能更好。
Clinical Efficacy of Xiaozhiling Injection of"Trinity Method"on Mixed Hemorrhoids
Objective To investigate the clinical efficacy of Xiaozhiling Injection of"trinity method"of rectal flap,rectal mucosa and hemorrhoid nucleus in the treatment of mixed hemorrhoids.Methods To-tal 80 patients with mixed hemorrhoids treated in Linyi Hospital of Traditional Chinese Medicine from Jan-uary to September 2022 were selected as the study objects and randomly divided into the observation group and the control group,with 40 cases in each group.The control group was treated with Milligan-Morgan hemorrhoidectomy(MMH),and the observation group was treated with Xiaozhiling Injection of"trinity method"of rectal flap,rectal mucosa and hemorrhoid nucleus combined with MMH.The overall efficacy of recent operation,the degree of postoperative anal pain and edema,wound healing time,the time of each defecation,incomplete defecation and anal stenosis 3 months after operation were compared between the two groups.Results There was no significant difference in cure rate between the observation group(100%)and the control group(97.5%)(P>0.05).The scores of anal pain and edema at the 1st,5th,7th and 14th days after operation in the observation group were lower than those in the control group(P<0.05).The wound healing time of the observation group was shorter than that of the control group(P<0.05).Three months after operation,the duration of each defecation in the observation group was signifi-cantly shorter than that in the control group,and the incidence of incomplete defecation and anal stenosis was significantly lower than that in the control group(P<0.05).Conclusion Compared with MMH,Xiaozhiling Injection of"trinity method"of rectal flap,rectal mucosa and hemorrhoid nucleus combined with MMH has definite clinical efficacy in the treatment of mixed hemorrhoids,with less pain and edema,shorter wound healing time,lower incidence of anal stenosis and better anal function.

Mixed hemorrhoidsXiaozhilingTrinity methodInjectionEfficacy

李英健、宋允举

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临沂市中医医院(山东临沂 256000)

混合痔 消痔灵 三位一体法 注射 疗效

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(2)
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