摘要
目的探讨缚扎固定术在治疗重度混合痔中的临床价值。方法以重度混合痔患者138例为研究对象,按随机数字表法分为试验组和对照组各69例,分别行缚扎固定术及多普勒超声引导下痔动脉结扎术,比较两组术中情况、手术疗效、住院时间及费用和复发率等。结果 (1)试验组手术时间(35.57±6.17)min,长于对照组的(12.73±4.92)mim(P<0.05),而两组术中出血量比较,差异无统计学意义(P>0.05)。(2)两组改善出血症状的情况比较,差异无统计学意义(P>0.05),而在改善脱垂症状和缩小痔核体积方面,试验组疗效明显优于对照组(P均<0.05),两组均无肛门功能损伤发生。两组住院时间无明显差异(P>0.05),但试验组的住院费用明显低于对照组(P<0.05),满意度明显好于对照组(P<0.05)。(3)复发率:对照组1年内复发率为23.2%,高于试验组的2.9%(P<0.05)。结论缚扎固定术治疗痔疮有较好的疗效,在改善脱垂和缩小痔核体积方面明显优于多普勒超声引导下痔动脉结扎术。
Objective To explore the clinical value of blocking and fixing operation for treating severe mixed hemorrhoids.Methods A total of 138 patients with severe mixed hemorrhoids were divided into experimental group（ n = 69） and control group（ n = 69）by random number table. The patients in the experimental group and control group were treated by blocking and fixing operation and Doppler ultrasound-guided hemorrhoidal artery ligation（ DG-HAL）,respectively. The intraoperative conditions,clinical efficacy,hospital stay and cost,and recurrence rate were compared between two groups. Results 1 The operative duration of experimental group was longer than that of control group[（ 35. 57 ± 6. 17） ml vs.（ 12. 73 ± 4. 92） ml,P 〈 0. 05]. There was no significant difference in the intraoperative blood loss between two groups（ P 〉 0. 05）. 2 There was no significant difference in the improvement of bleeding symptoms between two groups（ P 〉 0. 05）. But the improvement of prolapse symptoms and the reduction of hemorrhoids volume in the experimental group were obviously superior to that in the control group（ P 〈 0. 05）. No damage to anal function occurred in both groups. No significant difference in the hospital stay was found between two groups（ P 〉 0. 05）. Experimental group gained obviously less hospital cost and significantly higher satisfaction of patients compared to control group（ P 〈 0. 05）. 3 The 1-year recurrence rate of control group was higher than that of experimental group（ 23. 2% vs. 2. 9%,P 〈 0. 05）. Conclusion Blocking and fixing operation is quite effective for treating hemorrhoids,and is superior to DG-HAL in improving the prolapse and reducing the volume of hemorrhoids.
出处
《广西医学》
CAS
2015年第11期1614-1616,1623,共4页
Guangxi Medical Journal
关键词
混合痔
缚扎固定术
多普勒超声引导下痔动脉结扎术
疗效
复发率
Mixed hemorrhoid
Blocking and fixing operation
Doppler ultrasound-guided hemorrhoidal artery ligation
Efficacy
Recurrence rate
