超声引导下痔动脉结扎术治疗混合痔的效果观察

Effect of ultrasound-guided hemorrhoidal artery ligation in the treatment of mixed hemorrhoids

目的研究超声引导下痔动脉结扎术(DG-HAL)在混合痔治疗中的应用价值。方法纳入本院2015年1月至2017年1月100例混合痔患者作为研究对象,随机分为两组,每组各50例。观察组行DG-HAL术,对照组行传统外切内扎术。比较两组治疗效果,术后恢复情况、疼痛及并发症发生率。结果观察组手术时间、术中出血量、切口愈合时间、住院时间及术后排便排尿评分均显著低于对照组(均P<0.05)。观察组术后1 d、3 d及7 d时疼痛评分均显著低于对照组(均P<0.05)。两组手术疗效无显著性差异(P>0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。结论 DG-HAL治疗混合痔疗效可靠,能显著减轻术后疼痛和减少并发症发生率,缩短康复时间,具有较高临床应用价值。

Objective To study observe effect of ultrasound-guided hemorrhoidal artery ligation in the treatment of mixed hemorrhoids.Methods 100 patients with mixed hemorrhoids were randomly assigned to two groups, with 50 cases in each group. The treatment group received DG-HAL, and the control group received traditional Milligan Morgan surgery. The therapeutic effect, perioperative recovery, postoperative pain and complication rate of two groups were compared. Results The operation time, intraoperative blood loss,wound healing time, hospitalization time, and postoperative defecation and urination score in the treatment group were significantly lower than those in the control group（P〈0.05）. The pain score at 1, 3 and 7 day in the treatment group were significantly lower than that in the control group（P〈0.05）. There was no significant difference between the two groups in operative effect（P〉0.05）. The incidence of postoperative complications in the treatment group was significantly lower than that in the control group（P〈0.05）. Conclusion DG-HAL is effective in the treatment of mixed hemorrhoids. It can significantly reduce the incidence of perioperative period pain and complications, shorten the recovery time, and has high clinical application value.