改良pph加硬注术治疗老年人混合痔对比分析.docx

成都中医药大学硕士学位论文 譬。76so￡3
中 文’摘要
基的对改夷P爨麴硬注零治疗老年人混会疼孚寒的应用臻
究。
方法将120例患者采用随机单盲法分为观察组:改懿PPH加
硬注零治疗60镛释对照维:舛剥内扎殍注术潘疗60铡对琵研究。
结果观察组60例中痊愈ll例,显效32例,有效14例,无效2例;±;± 天:;米居疼痛(H、III度>24铡、术后磁盘(>5蕊1)3憾、拳薅尿游整24例、零后麟缘本艟2铡。对照组∞例中痊愈10例,显效27例,有效16例,无效7例;手术时间45。2S
±;±;± 天;本后疼痛(1l、溅度>蓦?饲、术爱爨盘<>蓦溉1)6铡、术惹屎潴留29例、术后胍缘水肿ll例。两组近期无狭窄和严重感染,远期疗效有待观察。
结论 改邀P硝加硬注术治疗老年入混合痔是一种有效方法,
手术篱萃、安全,近嬲疗效确切,手术眩闼短、住院对阀短、术螽疼痛轻、出觑少、皮瓣水肿少、缩短了疗程。有效地减少了术盾老年人合并病的诱发,有应用推广价值。
关键词 改嶷P照终剿内扎注射零老年人混合痔
成都中医药大学硕士学位论文
ABSTRACT
0翻ee纛Ve:秘st醚y魄嚣cl氇i髓l蟹plicati鞠of攮e i搬p持Ve矗黯H pl毪s scle∞睡ef婶y
in h-catment Of the olderIy patieⅡts with m扭ed hemorrhOids.
M:etho￡Is:nle 120 cases of mjxed hemo玎hoids we∞fandOmly divjded王nto observ鲥。n groHp矗珞d c黼的ll稚融娃轨6。c勰。s撅obscⅣived氇e impr0Ved PPH pIus sd。rotherapy,60 cases in contrqllcd gmup recdved the extemal dissec￡ion a齄d in培mal ligatiOn d鼍lre。
Results:0f tbe 60 p甜ients in observatioIl group’ra蛀v。patients was王王
cases,the effectual pationts was 32 cases,the e骶ctivo patients was 14 caSes,the invalid pa疽。赡was 2 cases,巍。mean硅me ofq地r鑫￡ion was(1655±3。66)m妇格les,毫量摇me她 hospit缸stay was(±)da黔the mean p。riod of therapy was(± )days,me cases“postopefati、re pa谊,bleediIl舀retentjon of“inc and ed锄a were 24,3,24嚣nd 2·0f the鳓p鑫tie珏ts in c。躺∞珏ed gfo娃p,氇。键rativ。p藐t主ents was lO
cascs,the effectua王pati。nts was 27 cas。s,me e西e穗^ve pa垃en括w_as 16 caSes,the iIlval站 patientS was 7 cases,the mean t妇e of opcration was(±)minutes,tlle mean hosp{tal st姆was(±l,55)days,如e mean p醚醯of坛er鞭y was(± )d8ys,the cases of postoperative pa缸,bleed泌&retention of lI蛾l嚣8nd edema were 57,6,29蝴d n.
铂珏dlls耋触:强e i印嬲秘P蹬掰珏霪蝴渤疆吲y主n鼢瓣e纛￡of妞躜d蒯y patients with mixed hemorrhoids is e好ective’sinlple,safe,plications and easy to is suggestcd that iInproVed PPH plus sdero也erapy is a reasonable
臻etho莲i珏魄e l糟鑫殛撼￡旌old藏y pa￡主c挝s wi氇丑呔嬲羲锄8柏oi熬。
Key words: hnpr0Ved procedure for prolapse孤d hemo汕oids;External diss鳅ion