自动痔疮套扎术治疗Ⅱ期内痔临床观察

Ruiyun Procedure for Hemorrhoids（RPH） in the Treatment of Ⅱ Stage Internal Hemorrhoids：Clinical Observation

为了观察自动痔疮套扎术（RPH）治疗Ⅱ期内痔的临床疗效，应用一次性痔疮套扎器对70例Ⅱ期内痔患者施行套扎痔核本体的套扎术。结果显示，术后全部患者的临床症状均有不同程度的好转，其中以便血为主要症状的患者症状完全消除，以脱出为主要症状的患者症状消除者为54例（96．4％）。术后并发症中肛门坠胀感14例（12．3％），术后疼痛7例（5．6％），术后肛缘水肿2例（2．8％），术后迟发性大出血1例（1．4％）。术后回访患者满意者57例（81．4％），基本满意12例（17．2％），不满意1例（1．4％）。结果表明，RPH套扎Ⅱ期内痔的痔核本体，能够改善Ⅱ期内痔患者的便血、脱出等临床症状，且操作简便，在正确操作及熟练掌握套扎位置的情况下，无明显并发症，患者的满意度较高。

This study was to observe the clinical effect of RPH（Ruiyun procedure for hemorrhoids） m the treatment of Ⅱ stage internal hemorrhoids through ligating the hemorrhoids mass. The 70 patients with this hemorrhoids received RPH.The outcome showed that all clinical symptions of the 70 patients got all improved which the hematochezia of the patients was completely eliminated in whom it was predominanted,the prolapse of 54 patients（96.4%） was removed in whom it was their main symptom as for postoperative complications,14 cases（12.3%） suffered from the anal tenesmus,7（5.6%） from pain,2 （2.8%） from anal edge edema, and 1（1.4 % ） from delayed massive bleeding as for the patient＇s satisfactory degree within postoperative follow-up, 57 cases felt satisfactory （81.4%）, 12 （17.2%） felt basically satisfactory, 12 （17.2%） non-satisfaction 1（1.4%）.Results show that RPH can improve the clinical symptoms such as hematochezia, prolapse, etc, and its manipulation is simple easy, has higher patient＇s satisfactory degree and in the situation of skillfully mastering ligation position and correct manipulation no significantly complication.