自动痔疮套扎术联合鱼肝油酸钠注射治疗Ⅲ及Ⅳ期内痔200例疗效观察

Observation on the efficacy of automatic hemorrhoid ligation combined with sodium morrhuate injection in the treatment of 200 cases of stageⅢandⅣinternal hemorrhoids

目的:观察自动痔疮套扎术(RPH)联合鱼肝油酸钠注射治疗Ⅲ、Ⅳ期内痔的临床疗效。方法:2018年1月-2019年12月收治Ⅲ、Ⅳ期内痔患者280例,随机分为两组。对照组采用RPH治疗。观察组采用RPH联合鱼肝油酸钠注射治疗。比较两组临床疗效及并发症发生率。结果:观察组治愈率高于对照组,差异有统计学意义(P<0.05);观察组术后出血发生率及胶圈滑脱率均低于对照组,差异有统计学意义(P<0.05)。结论:采用RPH联合鱼肝油酸钠注射治疗Ⅲ、Ⅳ期内痔,对减少术后大出血具有良好的治疗效果,能提高治愈率。

Objective:To observe the clinical efficacy of automatic hemorrhoid ligation(RPH)combined with sodium morrhuate injection in the treatment of stageⅢandⅣinternal hemorrhoids.Methods:From January 2018 to December 2019,280 patients with stageⅢandⅣinternal hemorrhoids were selected,they were randomly divided into two groups.The control group was treated with RPH.The observation group was treated with RPH combined with sodium morrhuate injection.The clinical efficacy and the incidence of complications were compared between the two groups.Results:The cure rate in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative bleeding and apron slippage in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Automatic hemorrhoid ligation combined with sodium morrhuate injection in the treatment of stageⅢandⅣinternal hemorrhoids has a good therapeutic effect on reducing postoperative massive bleeding and can improve the cure rate.