atz区保留术治疗环状混合痔的临床分析word格式论文.docxVIP

摘要目的：通过对ATZ区保留术治疗环状混合痔的临床疗效和术后并发症以及术后随访的观察，探索治疗环状混合痔的新方法，以治疗彻底，最大限度的保留肛门生理功能，减少并发症及后遗证，缩短疗程。方法：选取有明显手术指征而无手术禁忌征符合入选标准的环状混合痔患者60例随机分为治疗组30例，采用ATZ区保留术；对照组30例，采用传统的混合痔外剥内扎术，分别对两组患者的临床疗效、术后并发症、肛门周长变化、肛门压力测定值和术后3个月随访情况进行观察统计。结果：运用ATZ区保留术治疗环状混合痔，术后创面愈合时间缩短，在术后肛门狭窄、肛门失禁、肛缘水肿等并发症临床发生率方面明显低于对照组，最大限度地保留肛垫和肛管皮肤，有效地保护肛门功能。术后3月随访发现肛管周长基本无变化，在肛管弹性方面明显优于对照组，在复发率、痔核脱出、肛门失禁、肛门瘙痒的临床发生率方面明显低于对照组。结论：ATZ区保留术治疗环状混合痔可缩短创面愈合时间，减少术后并发症，有效的保护肛门正常的生理结构和功能，提高了手术质量，是一种切实有效的治疗方法。关键词：环状混合痔；ATZ区保留术；混合痔外剥内扎术；肛垫ClinicalStudyOnTreatingOfCircularMixedHemorrhoids WithATZzonesalvageBaiXiaoling(SurgeryofTraditionalChineseMedicine) DirectedbyWuCunliangAbstractObjective:ATZ zone salvage severe haemorrhoids clinical efficacy and postoperative complications and postoperative follow-up observation, severehaemorrhoidstoexplorenewwaystotreatthetotal,themaximum retention anal physiological function, reduce the complications and sequelaecard,shortentreatmentcourse.Methods:surgerywithoutobviousindicationsforsurgerymetthe inclusioncriteriacontraindicationsringMixed60patientswererandomly divided into treatment group of 30 patients were treated with ATZ zone salvage; control group of 30 patients outside the traditional strippingof mixedhemorrhoidsligation,respectively,wereassessedonclinical efficacy, complications, length change of the anus, anal manometry values,andthesituationafter3monthsfollow-upobservationstatistics. Results:TheuseofATZzonesalvageseverehaemorrhoids,postoperative wound healingtime, postoperative anal stenosis, anal incontinence, anal marginofedema,theincidenceofclinicalcomplicationswas significantlylowerthanthecontrolgroup,themaximumretainedanalpad and anal skin, the effective protection of anal function. 3 months after follow-upfoundintheanalcanalcircumferenceofthesame,the elasticityoftheanalcanalsignificantlybetterthanthecontrolgroup,the relapserate,hemorrhoidsprolapse,fecalincontinence,analitching clinicalincidencewassignificantlylowerthanthecontrolgroup.Conclusion: ATZ