| 摘要: |
| ［摘要］ 目的 观察应用外剥内扎术联合美辛唑酮栓治疗混合痔Ⅲ期的临床效果。方法 选择该院肛肠外科2012-01～2013-03住院的混合痔Ⅲ期患者60例，将患者随机分为治疗组和对照组，对照组30例采用常规手术治疗。治疗组30例，在常规治疗的基础上直肠腔置美辛唑酮栓1枚，术后第1天开始换药时将美辛唑酮栓塞入肛内。观察两组患者术后治疗效果。结果 治疗组疗效优于对照组（P<0.05），治疗组住院天数短于对照组（P<0.01），治疗组的疼痛、水肿、坠胀、出血程度均低于对照组（P<0.05或P<0.01）。结论 混合痔Ⅲ期应用外剥内扎术联合美辛唑酮栓治疗，解决了术后镇痛、恢复时间长、并发症多等问题，值得临床推广使用。 |
| 关键词: 混合痔Ⅲ期 外剥内扎术 美辛唑酮栓 |
| DOI：10.3969/j.issn.1674-3806.2014.01.07 |
| 分类号:R 657.1+8 |
| 基金项目:广西钦州市科学技术局科技攻关课题（编号：20122116） |
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| Clinical study of Milligan-Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲ |
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ZHU Fu-qing
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Department of Gastrointestinal Surgery, the People′s Hospital of Lingshan County, Guangxi 535400, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effect of application of Milligan-Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲ.Methods From January 2012 to March 2013,60 patients with mixed hemarhoid at stage Ⅲ were randomly divided into two groups(30 cases in each group). The patients in the control group received routine operation therapy.On the basis of above therapy,the patients in the treatment group were given indometacin and furazolidone suppository,putting one suppository into the rectal cavity at the end of operation,and then one into anus when exchanging the dressing on the first postoperative day.The therapeutic effects were observed in two groups.Results The therapeutic effets in the treatment group were superior to those in the control group（P<0.05） and the average hospitalization days in the treatment group were shorter than those in the control group（P<0.01）.The severity degrees of compications(pain, anal bulge sense, edema and hemorrhage) in the trentacant group were milder than those in the control group（P<0.05 or P<0.01）.Conclusion The application of milligan Morgan hemorrhoidectomy combined with indometacin and furazolidone suppository in the treatment of mixed hemorrhoids at stage Ⅲ solves the problem of postoperative analgesia,long recovery time and more complications,and is worthy of clinical use. |
| Key words: Mixed hemorrhoids at stage Ⅲ Milligan-Morgan hemorrhoidectomy Indometacin and furazolidone suppository |
