痔上黏膜分点套扎术治疗Ⅱ期内痔的临床疗效评价

Clinical evaluation of mucosa ligation above hemorrhoids in treating stage-Ⅱ internal hemorrhoids

目的评价痔上黏膜分点套扎术治疗II期内痔的临床疗效。方法将100例患者随机分为治疗组和对照组(各50例),治疗组采用痔上黏膜分点套扎术,对照组采用传统的痔核基底套扎术。观察两组临床疗效及并发症情况。结果治疗组、对照组总有效率均为100%,组间临床疗效差异无统计学意义(P>0.05)。两组各观察时点疼痛积分比较,差异均有统计学意义(P<0.05);两组各观察时点便血情况比较,差异均无统计学意义(P>0.05);治疗组术后第2天、第7天、第10天水肿、肛门不适发生情况与对照组比较,差异有统计学意义(P<0.05)。结论痔上黏膜分点套扎术治疗II期内痔较之于传统套扎法在改善症状的同时,可有效减轻或避免并发症的发生,具有较高的安全性。

Objective To evaluate the clinical efficacy of mucosa ligation in treating stage-II internal hemorrhoids. Methods One hundred cases were randomized into two groups. Fifty cases in treatment group were treated with mucosa ligation; the other 50 cases in control group were treated with traditional figation. The clinical efficacy and complications were observed. Results The total effective rates were 100% in both groups, without significant difference between the two groups （ P 〉 0.05 ）. The difference in pain sore between the two groups was significant （ P 〈 0.05 ） ; no significant difference was found in blood stool between the two groups （ P 〉 0.05 ）. Anal discomfort and edema between the two groups on 2rid, 7th and 10th days after operation were significantly different （ P 〈 0.05 ）. Conclusion Compared with traditional method in the treatment of internal hemorrhoids, mueosa ligation above hemorrhoid is safe and effective to relieve symptoms.