[RPH +简化Milligan-Morgan手术治疗混合痔:一项多中心、随机、对照临床试验]。

中国中西医结合杂志 Pub Date : 2017-04-01
Yong-Heng He, Zhi-Jun Tang, Xiang-Tong Xu, De-Quan Huang, Li-Shun Zhang, Qing-Zhu Tang, Zhi-Min Fan, Xian-Jun Zou, Guo-Jun Zou, Chong-Yang Zhang, Fan Hu, Biao Xie, Yan-Hua Li, Yao Tong, Hong-Chang Liu, Ke Li, Yu-Lian Luo, Fei Liu, Guang-Wei Situ, Zuo-Long Liu, Qiu-Xiang Shao
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引用次数: 0

摘要

目的观察简化后的RPH的安全性和有效性。混合性痔疮的M-M手术。方法采用随机、平行对照、多中心试验设计,将1 200例混合痔患者分为对照组(600例)和治疗组(600例)。对照组患者采用简化M-M手术治疗PPH,治疗组患者采用简化M-M手术治疗RPH。观察术后并发症、手术时间、住院天数及疗效。结果与对照组比较,治疗组术后出血、术后尿潴留、肛裂、肛肠狭窄发生率明显降低(P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment of Mixed Hemorrhoids by RPH with the Simplified Milligan-Morgan Surgery: a Multi-center, Randomized, Controlled Clinical Trial].

Objective To observe the safety and efficacy of RPH with the simplified. Milligan-Mor- gan(M-M) surgery on mixed hemorrhoids. Methods Totally 1 200 patients with mixed hemorrhoid were assigned to the control group(600 cases) and the treatment group(600 cases) according to randomized, parallel controlled,multi-center trial design. Patients in the control group received PPH with the simplified M-M surgery, and patients in the treatment group received RPH with the simplified M-M surgery. Postop- erative complications, operation time,the postoperative hospitalization days and the efficacy were ob- served. Results Compared with the control group, the numbers of postoperation hemorrhage, postop- erative uroschesis, anal fissure and anorectal stenosis in treatment group were decreased(P <0. 01 , P < 0. 05), operation time and the postoperative hospitalization days were decreased (P <0. 01 , P <0. 05 ), the cure rate for 3 and 12 months after operation were increased (P <0. 01, P <0. 05). Conclusions RPH with the simplified M-M surgery could reduce the incidence of postoperative complications,improve the clinical cure rate and the curative effect in treatment of mixed hemorrhoids.

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