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

Combination of sclerotherapy and doppler-guided hemorrhoidal artery ligation for the treatment of grade Ⅱ～Ⅲ hemorrhoids

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.