Clinical study on the treatment of incarcerated circumferential mixed hemorrhoids with external stripping and internal ligation plus semi-closed incision suturing and Xiaozhiling injection
外剥内扎术加切口半闭缝合术加消痔灵注射术治疗嵌顿性环状混合痔临床研究

摘要

目的 探究外剥内扎术加切口半闭缝合术加消痔灵注射术治疗嵌顿性环状混合痔的临床疗效。方法 选取2022年1月至2022年12月在长治市中医医院进行治疗的100例环状混合痔病患，以随机数字表法为据拆分为观察组，计50例（施行外剥内扎术+切口半闭缝合术+消痔灵注射术）对照组则为50例（予外剥内扎术配合消痔灵注射）。评估两组在术后疗效、术后次日肛缘水肿程度、术后第2日创面疼痛程度、创面愈合时间、肛门坠胀、需要干预的出血情况。结果 两组术后总体疗效而言未呈现显著组间偏移（P>0.05）。观察组术后第2日的肛缘水肿程度及创面疼痛程度均明显趋低，创面闭合周期显著缩短，需临床施以干预的出血情形与肛门坠胀感的发生频次亦较对照组为少（P<0.05）。结论 外剥内扎术+切口半闭缝合术+消痔灵注射术治疗环状混合痔疗效可靠，且能有效减轻患者术后肛缘水肿，降低术后肛门疼痛、坠胀程度，预防术后创面大出血的发生，显著缩短了愈合时间。

Abstract

Objective To evaluate the clinical efficacy of external stripping and internal ligation combined with semi-closed incision suturing and Xiaozhiling injection in treating incarcerated circumferential mixed hemorrhoids.
Methods A total of 100 patients with circumferential mixed hemorrhoids treated at Changzhi Hospital of Traditional Chinese Medicine from January to December 2022 were randomly divided into an observation group (n=50, receiving external stripping and internal ligation + semi-closed incision suturing + Xiaozhiling injection) and a control group (n=50, receiving external stripping and internal ligation plus Xiaozhiling injection). Postoperative outcomes were assessed including overall efficacy, anal margin edema severity on postoperative day 1, wound pain intensity on postoperative day 2, wound healing time, anal fullness sensation, and frequency of bleeding requiring intervention.
Results No significant intergroup differences were observed in overall postoperative efficacy (P>0.05). The observation group showed significantly reduced anal margin edema and wound pain intensity on postoperative day 2, markedly shorter wound closure duration, fewer cases of clinically required hemorrhage or anal fullness sensations compared to the control group (P<0.05).
Conclusion   The combination of external stripping and internal ligation with semi-closed incision suturing and Xiaozhiling injection demonstrates reliable therapeutic efficacy for circumferential mixed hemorrhoids, effectively alleviating postoperative anal margin edema, reducing anal pain and fullness, preventing major postoperative bleeding, and significantly shortening healing time.