期刊文献+

硬化剂注射术结合超声引导下痔动脉结扎术治疗Ⅱ~Ⅲ度内痔临床观察 被引量:4

Combination of sclerotherapy and doppler-guided hemorrhoidal artery ligation for the treatment of grade Ⅱ~Ⅲ hemorrhoids
下载PDF
导出
摘要 目的观察硬化剂注射术结合多普勒超声引导下痔动脉结扎术(DGHAL)治疗Ⅱ~Ⅲ度内痔临床疗效。方法将64例Ⅱ~Ⅲ度内痔患者随机分为治疗组33例和对照组31例,治疗组采用硬化剂注射结合DGHAL治疗,对照组仅采用DGHAL治疗,观察两组临床疗效以及并发症、手术时间、术中出血量。结果治疗组与对照组总有效率分别为96.80%和77.41%,两组临床疗效差异有统计学意义(P〈0.05)。两组术后疼痛、肛缘水肿、排便情况无明显差异(P〉0.05),术后当天、第3天出血情况治疗组优于对照组(P〈0.05)。对照组手术时间少于治疗组(P〈0.05),两组术中出血量差异无统计学意义(P〉0.05)。结论硬化剂注射术结合多普勒超声引导下痔动脉结扎术,可以有效减少术后并发症。 Objective To observe the clinical efficacy of selerotherapy and doppler-guided hemorrboidal artery ligation ( DGHAL ) in treating grade Ⅱ~Ⅲ hemorrhoids. Methods Sixty-four cases were randomized into two groups: treatment group in which 33 cases were treated by sclerotherapy and DGHAL, and control group in which 31 cases were treated by DGHAL. The clinical symptoms and clinical efficacy after operation were observed. Results The overall effective rate was 96.80% in the treatment group and 77.41% in the control group, with a difference between the two groups( P 〈 0. 05 ). No significant difference was found in pain, swelling, defecation, operation time, intraoperative bleeding volume ( P 〉 0.05 ). The postoperative bleeding volume in treatment group at the 1 st and 3rd day after operation was less than that of the controls ( P 〈 0.05 ). The operation time in control group was less than of the treatment group( P 〈 0.05 ), no significant difference was found in intraoperative bleeding volume between the two groups ( P 〉 0.05 ). Conclusion Combined sclerotherapy and DGHAL is effective to reduce its complications after operation.
出处 《上海中医药杂志》 2014年第4期79-81,共3页 Shanghai Journal of Traditional Chinese Medicine
基金 上海申康医院发展中心项目(SHDC12010219)
关键词 硬化剂注射术 痔动脉结扎术 术后并发症 痔疮 sclerotherapy hemorrhoidal artery ligation perioperative period postoperative complication
  • 相关文献

参考文献7

二级参考文献21

  • 1Bleday R, Pena J P, Rothenberger D A, et al. Symptomatic hemorrhoids: current incidence and complications of opera- tive therapy[J]. Dis Colon Rectum,1992,35(1) :477 481.
  • 2Loder P B,Kamm M A,Nicholls R J,et al. Haemorrhoids:pa- thology,pathophysiology and aetiology[J]. Br J Surg, 1994, 81(2):946 954.
  • 3Milligan E T C,Morgan C N,Jones L E,et al. Surgical anato- my of the anal canal and the operativetreatment of haemor- rhoids[J]. Lancet, 1937,2 : 1119-1123.
  • 4Longo A. Treatment of hemorrhoidal disease by reduction of mucosal and hemorrhoidal prolapse with circular suturing de vice: a new procedure[M]//Proceedings of the 6th world congress of endoscopic surgery. Bologna: Monduzzi Editore, 1998,777-784.
  • 5Tjandra J J, Chan M K. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy) [J]. Dis Colon Rectum,2007,50(6) :878-892.
  • 6Ganio E, Altomare D F, Gabrielli F, et al. Prospective random ized multicentre trial comparing stapled with open haemor- rhoidectomy[J]. Br J Surg,2001,88(5) :669-674.
  • 7Mehigan B J, Monson J R, Hartley J E. Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial [J]. Lancet, 2000, 355 (9206) : 782-785.
  • 8Shalaby R,Desoky A. Randomized clinical trial of stapled ver- sus Milligan-Morgan haemorrhoidectomy [J]. Br J Surg, 2001,88(8) : 1049-1053.
  • 9Morinaga K, Hasuda K,Ikeda T. A novel therapy for internal hemorrhoids:ligation of the hemorrhoidal artery with a new ly devised instrument (Morieorn) in conjunction with a Doppler flowmeter [J] Am J Gastroenterol, 1995, 90 (4): 610-613.
  • 10Sohn N, Aronoff J S, Cohen F S, et al. Transanal hemorrhoid al dearterialization is an alternative to operative hemorrhoid eetomy[J]. Am J Surg,2001,182(5) : 515-519.

共引文献2402

同被引文献44

引证文献4

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部