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肛门狭窄

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When anastomose instruments were dropped out, the stoma were bleeding and needed ligate using suture to stop bleeding in 28 patients (23.3%).

全组病人无1例发生大便失禁,肛门狭窄,感染或肛周脓肿形成。随访1个月 ̄2a无复发和其它不良现象发生。

Results After operation, the crissum flap of the 15th patient sruvived completely, the anal straitness was released, parts of the appearance at crissum were satisfied, function of defecation and activity were back to normal basically.

结果:15例患者术后肛周皮瓣完全成活,肛门狭窄解除,肛周局部外观满意,排便及活动功能基本恢复正常。

All hemorrhoidal mass disappeared after operation,no replase,no incontinence of faeces and urine,anus narrowness and anal infection after following up of 3 months to 17 months.

随访3~17个月,无复发,无大便失禁、肛门狭窄和肛周感染。

objective: to observe the therapeutic effect of integrative medicine therapy on circumferential mixed hemorrhoids.methods: peeling and suturing external hemorrhoid by segments,cut and ligating the dentate line of internal hemorrhoids,injecting xiaozhiling liquid,sitz bath and chinese herbal fumigation and washing after operation.results: all the 78 patients cured without massive hemorrhage,anal stenosis and other complications after operation.the follow-up study a year later shows no recurrence.conclusion: the surgical operation is simple and effective,should be worthily recommended in the clinical application.

目的:观察中西医结合治疗环状混合痔的临床疗效。方法:采用外痔分区段剥离缝合、内痔齿线上小v剪口结扎、消痔灵液注射,术后用中药坐浴熏洗。结果:本组78例全部一次治愈,术后无大出血,肛门狭窄等并发症,1年后随访无1例复发,肛门功能正常。结论:本术式简单有效、治愈率高、并发症少,值得临床推广应用。

Results The average operation time was 23.5min. The average hospital stay was 3.5d. The correction of the prolapsed hemorrhoids was satisfied in 93.5% patients. Intraoperative hemorrhea occurred in two cases because the large range rectum mucosa was uncompletely stapled or cut. Urine retention occurred in 184 cases (31.9%), anal pain in 357 cases (62%) and a second operation were performed in 3 cases because of postoperative hemorrhea. A total of 484 cases were followedup for 14 years. The postoperative satisfaction rate of symptom improvement was 94 .3%. Four cases underwent thrombosed external hemorrhoid resection. Other patients had no recurrence, no anal stenosis and no fecal incontinence.

结果 手术时间平均23.5 min,平均住院时间3.5 d,切除痔上黏膜宽度平均约2.5 cm.93.5%术中痔核回缩满意,因大面积钉合不全及切割不全各1例发生术中大出血,尿潴留184例(31.9%),肛门疼痛357例(62%),3例术后大出血再次行手术止血。484例(84%)随诊1~4年,术后症状改善满意者94.3%,2例误诊,4例因血栓外痔行血栓外痔切除术,其余患者均无复发,无肛门狭窄、大便失禁。

For 40 more years, we have insisted in using the combination method of Chinese Traditional Medicine and Western Medicine and Cured 500,000 more patients who suffered from some diseases as internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, anal fissure, anal fistula, perianal abscess, intestinal polyp, prolepses of rectal mucosa, costingpation, proctatresia, stricture of anus, rectoperineal fistula, rectal carcinoma, carcinoma of colon, proctitis, colitis, etc.

四十多年来,我们坚持用中西医结合的方法,为五十多万名患有内痔、外痔、混合痔、肛裂、肛周脓肿、肠息肉、直肠粘膜脱垂、便秘、肛门闭锁、肛门狭窄、直肠阴道瘘、直肠癌、结肠癌、直肠炎、结肠炎的患者解除了病痛。

Anorectal disease, with considerable wealth of knowledge, proficient in a variety of anorectal surgery, especially adept at the use of advanced painless treatment of hemorrhoids, anal fissure, anal fistula, perianal abscess, anal papillomas, prolapse, anal stenosis, proctitis, colon Yandeng anorectal disease.

具有相当丰富的肛肠疾病知识,精通各种肛肠科手术,尤其擅长利用先进的无痛技术治疗痔疮、肛裂、肛瘘、肛周脓肿、肛乳头瘤、脱肛、肛门狭窄、直肠炎、结肠炎等肛肠疾病。

Patients with congenital anal atresia and concomitant rectovaginal or rectoperineal fistula were undertaken Z shape plastic operation with fistula reserved. 2 patients with rectovaginal or rectoperineal fistula were removed and closed fistual and repaired os of fistula.

采用Z成形术修复先天性肛门狭窄9例,保留瘘口瘘道+Z成形术修复先天性肛门闭锁伴直肠阴道瘘或直肠会阴瘘5例,彻底切除瘘管、分层闭合瘘道、修复瘘口治疗单纯性直肠阴道瘘或直肠会阴瘘2例。

There were no marked different in anus stricture, fecal leakage, recurrence in situ, defecated inconvenience to both groups by one year follow-up.

术后一年随访在肛门狭窄、漏粪、原位复发、排便困难等方面比较无显著性差异。

Results The observation shows this method is effective for prevention of postoperative bleeding, short healing time, less incision ache, also no complications of rectal narrow, incontinence and mucosa everting and so on.

结果 该术式术后预防出血效果明显、愈合时间短、切口疼痛轻微、无肛门狭窄、失禁及粘膜外翻等并发症。

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