摘要
目的探究聚多卡醇泡沫硬化剂治疗Ⅰ~Ⅲ度内痔出血的临床疗效。方法选取2021年1—12月于南通大学附属江阴市人民医院肛肠外科和江阴市第三人民医院门诊采用聚多卡醇硬化治疗的156例Ⅰ~Ⅲ度内痔出血患者作为研究对象。术后随访12个月,通过Go-ligher分度标准对患者内痔分度,采用Sodergren痔疮症状严重程度评分、痔出血等级评分评估硬化治疗患者症状的效果。记录患者一般资料、术后疼痛情况及相关并发症发生情况。结果硬化剂注射手术时间(12.24±3.08)min;注射用量(4.88±1.66)ml;术后疼痛患者16例(10.26%),术后疼痛评分1~4分,平均(2.13±0.96)分;术后1周及1、3、6、12个月的总有效率分别为89.74%、92.16%、90.07%、86.39%、82.76%;复发率为9.66%。结论聚多卡醇硬化治疗Ⅰ~Ⅲ度出血性内痔患者是一种安全、疗效确切且可重复的治疗方式。
Objective To explore the clinical efficacy of polidocanol foam sclerosing agent in the treatment of gradeⅠ-Ⅲinternal hemorrhoids bleeding.Methods A total of 156 outpatients with gradeⅠ-Ⅲinternal hemorrhoids bleeding who received polidocanol sclerotherapy from January 2021 to December 2021 in the Anorectal Surgery department of Jiangyin People's Hospital-Affiliated Hospital of Nantong University and Jiangyin Third People's Hospital were selected as the research subjects.The follow-up time was 12 months,the internal hemorrhoids of the patients were grad-ed according to the Goligher's classification,and the effects of the polidocanol sclerotherapy on the symptoms were evaluated using the Sodergren hemorrhoid symptom severity score and hemorrhoidal disease bleeding grade.General information,postoperative pain and related complications were recorded.Results The operation time of sclerosing injection was(12.24±3.08)min;the injection dosage was(4.88±1.66)ml;there were 16 patients(10.26%)with postoperative pain,and the postoperative pain score was 1-4 scores,with an average of(2.13±0.96)scores;the total effec-tive rates at 1 week and 1,3,6 and 12 months were 89.74%,92.16%,90.07%,86.39%and 82.76%,respectively;the recurrence rate was 9.66%.Conclusion Polidocanol sclerotherapy is a safe,effective and repeatable treatment for patients with gradeⅠ-Ⅲhemorrhagic internal hemorrhoids.
作者
毛协良
孙琦
朱俊佳
赵振国
MAO Xieliang;SUN Qi;ZHU Junjia;ZHAO Zhenguo(Department of General Surgery,Jiangyin Third People's Hospital,Wuxi,Jiangsu,214400,China;Department of Anorectal Surgery,Jiangyin People's Hospital-Affiliated Hospital of Nantong University,Wuxi,Jiangsu,214400,China)
出处
《当代医学》
2024年第12期145-148,共4页
Contemporary Medicine
关键词
内痔出血
聚多卡醇
硬化剂
Hemorrhagic internal hemorrhoids
Polidocanol
Sclerotherapy
