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目的 :对自行设计的切闭术与传统的切扎术 (Milligan- Morgan手术 )治疗 度、 度痔的效果进行对比评估。方法 :在同期住院病人中 ,各抽取 5 0例随机分成切闭术组与切扎术组。对术后疼痛等 10项指标进行评估。结果 :手术平均时间在两组分别为 9.0 4 m in (5～ 15 min)与 4 0 min (2 5～ 75 min)。术后疼痛评分于 2 4 h分别为 3.14与 6 .88,72 h分别 1.38与4 .12。随访 1～ 8个月 (平均 4个月 ,中位数 4个月 ) ,无狭窄、失禁、外翻、复发、排便障碍等并发症 ,术后 2个月开始脱钉。多项指标 ,切闭组均明显优于切扎组。结论 :切闭术是一种简单、安全、可靠、少痛或无痛、恢复快的新术式。基本可以替代传统的切扎术。远期疗效尚待观察。
OBJECTIVE: To compare the effect of self-designed resection and traditional cerclage (Milligan-Morgan surgery) and degree hemorrhoid. Methods: In the same period of inpatients, 50 cases were randomly divided into incision group and incision group. Ten indexes such as postoperative pain were evaluated. Results: The mean operative time was 9.0 4 mins (5-15 min) and 40 min (25-575 min) in both groups. Postoperative pain scores were 3.14 and 6.88 at 24 hours and 1.38 and 4.12 at 24 and 24 hours respectively. All the patients were followed up for 1 to 8 months (average 4 months, median 4 months) without any complications such as stenosis, incontinence, valgus, recurrence and defecation disorder. A number of indicators, the closure group were significantly better than the incision group. Conclusion: Incision is a simple, safe, reliable, less pain or painless, fast recovery of new surgical procedures. The basic alternative to the traditional incision. Long-term efficacy remains to be seen.