目的:探讨52例肛门尖锐湿疣合并多发性混合痔的临床同期治疗效果.方法:选自我院于2015年3月至2016年12月期间收治的肛门尖锐湿疣合并多发性混合痔52例患者,按照随机数字表法分为观察组26例与对照组26例.两组患者入院后均采用高频电刀术清除疣体.对照组采用吻合器置环切术,观察组在对照组基础上再采用纵切横缝法.结果:观察组治愈率高于对照组,且有统计学差异(P＜0.05);而两组总有效率比较无统计学差异(P＞0.05);两组患者术后7d疼痛、便血、肛门光滑度评分降低,且有统计学差异(P＜0.05);观察组患者术后7d疼痛、便血、肛门光滑度评分低于对照组,且有统计学差异(P＜0.05);观察组肛门狭窄明显少于对照组,且有统计学差异(P＜0.05);而两组肛裂比较无统计学差异(P＞0.05).结论:纵切横缝法联合吻合器置环切术治疗肛门尖锐湿疣合并多发性混合痔疗效明显,具有重要意义.%Objectives:To investigate the clinical diagnosis and treatment of 52 patients with anal condyloma acuminatum and multiple mixed hemorrhoids.Methods:52 patients with anal condyloma acuminatum complicated with multiple mixed hemorrhoids admitted in our hospital from March 2015 to December 2016 were randomly divided into observation group (26 cases) and control group (26 cases).Two groups of patients were given electrocautery to remove the wart.The control group received stapler circumcision,and the observation group received longitudinal joints additionally.Results:The cure rate of observation group was higher than that of control group (P ＜0.05);and the total efficiency of two groups showed no significant difference (P ＞ 0.05).The 7d pain,hematochezia,anal smoothness score decreased after operation in two groups (P ＜ 0.05);7d postoperative pain,blood in the stool and anus smoothness score of observation group were lower than these of control group (P ＜ 0.05).The case number of anal stenosis in observation group was significantly less than that of control group (P ＜ 0.05).Difference in anal fissure was not significant between the two groups (P ＞0.05).Conclusion:Operation of longitudinal incision and transverse suture combined with the circumcision in the treatment of condyloma acuminatum with multiple mixed hemorrhoids has significant effect.
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