改良多普勒超声引导下痔动脉结扎术治疗痔病临床疗效分析.pdfVIP

· 1642 · · 短 篇 论 著 · 改 良多普勒超声引导下痔动脉结扎术治疗痔病临床疗效分析 刘 艳 ，张 波 【摘要】 目的 观察改良多普勒超声引导下痔动脉结扎术 (DG—HAL)治疗痔病的临床疗效。方法 将80例 Ⅱ～Ⅲ期 内痔患者随机分为治疗组和对照组，每组各40例，治疗组采用改 良DG—HAL术，对照组采用外剥 内扎术 (Milligan—MorganhemoⅡhoidectomy)进行治疗。观察两组术后症状改善情况及并发症等。结果 两组患者术前症状均 得到有效控制，治疗组术后便血情况改善程度优于对照组，术后首次排便和术后 1周便血情况比较，差异均有统计学 意义 (P0．05)；治疗组术后疼痛评分均低于对照组，术后当天及术后第3天疼痛评分比较 ，差异均有统计学意义 (P0．05)。治疗组术后水肿评分低于对照组，差异有统计学意义 (P0．05)。结论 改良DG—HAL术治疗 Ⅱ一Ⅲ 期内痔具有操作简单、安全有效、微创及恢复快等优点。 【关键词】 痔；超声检查，多普勒；痔动脉结扎术；外剥内扎术 【中图分类号】R657．18 【文献标识码】B 【文章编号】1007—9572 (2012)05—1642—03 ClinicalAnalysisofImproved Doppler— guided Hemorrhoid Artery Ligation in Treating Hemorrhoids LIU Yan， ZHANGBo．DepartmentofColorectalSurgery，ZhongdaHospitalAffiliatedtoSoutheastUniversity，Nanjing210009，China A【bstract】 0bjectiveToobservetheclinicalefficacyofimproveddoppler—guidedhemorrhoidarteryligation(DG— HAL)inthetreatmentofhemorrhoids．Methods 80patientswithGradeⅡorm ofinternalhemorrhoidswererandomlydivid— edintotwogroups：treatedgroup (n=40)receivingimproveddoppler—ugidedhemorrhoidarteryligationandcontrolrgoup(n ：40)receivingMilligan—Morganhemorrhoideetomy．Thesymptomimprovementandpostoperativecomplicationswereobserved andcomparedbetweentworgoups．Results Allpatientsgainedsomeimprovementafteroperation，buttheimprovementdegree ofhemorrhoidalbleedingintreatedrgoupwasbetterthanthatineon~olgroupandthedifferencesinthefirstdefecatingtimeand oneweekafteroperationbetweenthetwogroupsweresignificant(P0．05)．Thepostoperativepainscoresofpatientsintreated rgoupwerelowerthanthoseincontrolgroupandthedifferencesontheoperativedayandonthe3rddayafteroperationbetween thetworgoupsweresignificant(P0．05)．Thepostoperativeedemadergeeofthepatientintreatedrgoupwasmilderthanthat incontrolrgoup (P0．05)．Conclusion Theimproveddoppler—guidedhemorrhoidartery ligationisasafeandeffective methodinthetreatmentofgrade ⅡorⅢ ofinternalhemorrhoids，whichhasadvantagesofeasyope