原创《分段整形联合肛垫减积复位术治疗女性混合痔的临床观察》：该文是关于临床观察论文范文，为你的论文写作提供相关论文资料参考。
摘 要 目的：观察分段整形联合肛垫减积复位术治疗女性混合痔的临床疗效和安全性.方法：选择120例脱垂性结缔组织型环状混合痔女性患者分为观察组（行分段整形加肛垫减积复位术）和对照组（行外剥内扎术）各60例,两组患者术后均采用中药内服、涂擦、熏洗.记录患者的临床资料,手术时间,术中出血量,总住院费用,术后住院时间、疼痛程度及并发症情况.结果：两组患者在手术时间,术后疼痛以及围术期出血比例等观察指标均不存在统计学差异（P>0.05）.创面出血、局部疼痛及坠胀系统评分结果显示,观察组相较于对照组能有效减少术后并发症的出现,术后评分观察组优于对照组（P等于0.001）. 结论：分段整形联合肛垫减积复位术治疗女性混合痔,不但保留肛垫的结构,而且可以减少术后并发症.
关键词 分段整形加肛垫减积复位术 混合痔 临床观察
中图分类号：R657.18 文献标识码：A 文章编号：1006-1533（2018）03-0053-04
Clinical observation of sectional shape plus anal cushion operation for the female patients with mixed hemorrhoids
ZHANG Qianni*, WANG Li, SHEN Dehai（Department of Anorectal Surgery, Shanghai Xiangshan Hospital of Traditional Chinese Medicine, Shanghai 200020, China）
ABSTRACT Objective： To investigate the clinical efficacy and safety of sectional shape plus anal cushion operation in the treatment of female patients with mixed hemorrhoids. Methods： A total of 120 patients with prolapse of connective tissue type mixed hemorrhoids were selected and divided into an observation group （underwent sectional shape plus anal cushion operation） and a control group （underwent Milligan operation） with 60 cases each. Oral administration, applying and fumigation of Chinese medicine were performed in the two groups after operation. The clinical data, operative time, intraoperative blood loss, total cost of hospitalization, postoperative hospital stay, pain and complications were recorded. Results： The operation time, postoperative pain, as well as the proportion of perioperative bleeding and other indicators were not statistically different between the two groups （P>0.05）. The wound bleeding, local pain and distension system scores showed that sectional shape plus anal cushion operation could effectively reduce postoperative complications compared with Milligan operation （P等于0.001）. Conclusion： The sectional shape plus anal cushion operation can not only retain the structure of anal cushion, but also reduce the postoperative complications.
KEY WORDS sectional shape plus anal cushion operation； mixed hemorrhoids； clinical efficacy and safety
据统计,痔疮患者中近60%的患者是女性.由于女性的三个生理特征（月经期、生育期、更年期）,导致痔疮多以脱垂性结缔组织型环状混合痔为主[1],其在临床上一直是肛肠学科的治疗难点之一.有研究结果显示,分段整形联合肛垫减积复位术,不但保留肛垫的结构,以达到术后不影响或尽可能少地影响精细控便能力,而且充分减少创面、保留肛管上皮,不但能够获得常规外剥内扎术相同的患者满意度,而且减少术后疼痛的发生、缩短创面愈合时间,同时由于保持肛门生理结构和功能,可减少并发症的发生[2].但該法由于受开展时间的限制,其临床疗效与不良反应还有待进一步观察.本研究比较了分段整形联合肛垫减积复位术与外剥内扎术的疗效与安全性,现报告如下.
1 资料与方法
1.1 一般资料
选择2011年1月—2013年12月间入住我院肛肠外科的120例女性混合痔患者,年龄30～68岁,病程1年至18年,均无痔手术治疗史,并均符合混合痔的中西医诊断标准.
临床观察论文参考资料：
结论：分段整形联合肛垫减积复位术治疗女性混合痔的临床观察为关于对不知道怎么写临床观察论文范文课题研究的大学硕士、相关本科毕业论文临床观察论文开题报告范文和文献综述及职称论文的作为参考文献资料下载。
