改良超声介导痔上动脉缝扎术治疗脱垂性痔病的临床研究

Clinical observation on improved Doppler-guided hemorrhoid artery ligation in the treatment of prolapsed hemorrhoids

目的将治疗Ⅱ°～Ⅲ°痔为主的超声介导痔上动脉缝扎术(DG-HAL)改良为三级悬吊缝扎并治疗脱垂性痔病(Ⅲ°～Ⅳ°痔)。方法 60例Ⅲ°～Ⅳ°混合痔患者用改良DG-HAL方法治疗,分析手术机理并评价疗效与并发症。结果改良DG-HAL术治疗脱垂性痔病的效果良好,治愈率达93.3%。并发症少且轻微,其中术中出血6例(10.0%)、术后出血4例(6.7%)、肛门坠胀感10例(16.7%)、急便感5例(8.3%)、尿潴留6例(10.0%)。结论改良DG-HAL可用于治疗脱垂性痔病,疗效良好,并发症减少,值得临床推广。

Objective To analyze the mechanism and evaluate the efficacy of improved Doppler-guided hemorrhoid artery ligation（improved DG-HAL） in the treatment of prolapsed hemorrhoids.Methods Sixty patients of Ⅲ°~Ⅳ° mixed hemorrhoid were treated with the improved DG-HAL.The mechanisms and the efficacy were analyzed,with the complication detected.Results The clinical efficacy of improved DG-HAL to prolapsed hemorrhoids is excellent,with the cure rate of 93.3%.Significantly fewer and slighter complications were found,including 6 cases（10.0%） of intraoperative bleeding,4 cases（6.7%） of postoperative bleeding,10 cases（16.7%） of anus pendent swells,5 cases（8.3%） of urgent defecation,and 6 cases（10.0%） urinary retention.Conclusion Improved DG-HAL is effective for the treatment of prolapsed hemorrhoids,with minor complications,which is worthy of clinical application.