摘要
目的：根据痔的症状及体征，选择不同的治疗方法。方法：对1062例痔病患者分别采用药物治疗、硬化剂注射、痔外剥内扎术、痔上粘膜环切术治疗。结果：药物治疗140例痔出血者，症状消失125例。硬化剂注射265例痔出血者，症状消失236例。痔外剥内扎术治疗425例痔脱垂，症状消失352例。痔上粘膜环切术治疗232例环状痔脱垂，症状消失229例。术后1～5年随访268例痔外剥内扎术后病人，53例出现痔脱垂。185例PPH术后病人，2例出现轻度痔脱垂。结论：痔病病情术前评估及手术方式的选择可提高疗效、减少手术并发症，痔出血适宜药物治疗、硬化剂注射，二、三期脱垂痔适合痔外剥内扎术，三、四期环状脱垂痔适合痔上粘膜环切术。
Objective：To find out the desirable therapies for hemorrhoid in terms of its symptoms and physical signs. Methods ： 1 062 hemorrhoid cases were gathered for this retrospective study. Those cases underwent different types of therapies such as medication, sclerosing agent injection therapy, Milligan-Morgan operation or procedure for prolapse and hemorrhoids（PPH）. Results： Among the cases with medication,hemorrhoid bleeding occurred in 140 cases and the symptoms disappeared in 125. As was shown in hardener injection group, 236 cases of hemorrhoid bleeding got recovery from 265. In Milligan-Morgan operation group（425, hemorrhoidal prolapse）, 352 cases were transference cured. When it came to PPH group, 229 cases of circular hemorrhoid prolapse recovered from 236. A session of 1 to 5 years of follow-up after operation suggested that 53 cases complicated with prolapse out of 258 Milligan-Morgan operation cases. 2 appeared low-grade prolapse out from 185 PPH cases. Conclusion ： Evaluation on the condition before operation and therapy selection can boost the curative effect and reduce the operative complications. It＇s better to treat the hemorrhoid bleeding with medicine and hardener in- jection. Milligan-Morgan operation is favorable to phase Ⅱ and Ⅲ of hemorrhoidal prolapse, and PPH is desirable for phase Ⅲ and Ⅳ of circular hemorrhoidal prolapse.
出处
《皖南医学院学报》
CAS
2007年第3期193-194,共2页
Journal of Wannan Medical College
关键词
痔
术前评估
治疗方式
hemorrhoid
pre-operative evaluation
therapy
