摘要
目的探讨吻合器痔上黏膜环切钉合术（PPH）与多普勒超声引导下痔动脉结扎术（DGHAL）治疗Ⅱ～Ⅲ度痔病的临床效果。方法选取2010年1月～2011年12月本院收治的Ⅱ～Ⅲ度痔病患者112例，根据手术方法将患者分为PPH术组（n=58）、DGHAL术组（n=54）。比较两组患者的手术疗效、并发症及复发情况。结果PPH术组的术后恢复日常活动时间长于DGHAL术组，术后痛评分高于DGHAL术组，差异有统计学意义（P〈0．05）。PPH术组术后远期[中位随访38个月（33～48个月）]症状评分及痔脱出复发率均低于DGHAL术组，差异有统计学意义（P〈0．05）。两组患者术后8周的并发症发生率差异无统计学意义（P〉0．05），术后远期，两组的所有并发症均消除。结论PPH术与DGHAL术均为治疗Ⅱ～Ⅲ度痔病较安全有效的手术方式，DGHAL术术后疼痛轻微，术后恢复日常活动时间短，而PPH术的远期效果可靠，痔脱出复发率低。
Objective To discuss the clinical effect of procedure for prolapse and hemorrhoids （PPH） and Dopplerguided haemorrhoidal artery ligation （DGHAL） in the treatment of Ⅱ-Ⅲ degree haemorrhoids. Methods 112 patients with Ⅱ-Ⅲ degree haemorrhoids treated by our hospital from January 2010 and December 2011 were chosen,and they were divided into PPH group （n=58） and DGHAL group （n=54） according to operation method.The curative effect of operation,complication and recurrence between two groups was compared respectively. Results The time of recovering daily activities after operation in PPH group was longer than that of DGHAL group,pain score after operation in PPH group was higher than that of DGHAL group,and there was a statistical difference （P〈0.05）.Symptom score of postoperative long-term [median follow-up of 58 months （35-48 months）] and recurrence rate of hemorrhoids prolapse in PPH group was lower than that of DGHAL group respectively, and there was a statistical difference （P〈0.05）.There was no statistical difference of incidence rate of complication between two groups after 8 weeks operation （P〉0.05）,at postoperative long-term period, all complications were eliminated in the two groups. Conclusion PPH and DGHAL are more safe and effective method treating degree Ⅱ-Ⅲ haemorrhoids.Postoperative pain is light after DGHAL operation,and its time of recovering daily activities after operation is short,and long term effect of PPH is reliable,and its recurrence rate of hemorrhoids prolapse is low.
出处
《中国当代医药》
2016年第8期24-27,共4页
China Modern Medicine
