内痔套扎治疗方法改进的探讨

An Improved Method of Internal Hemorrhoid Ligation Treatment

目的 比较改进后的内痔套扎法和传统套扎法治疗内痔的有效性和安全性。方法 对参与研究的 86例病人采用随机、双盲的方法进行研究。传统套扎法采用套扎痔体的方法治疗内痔 ,改进套扎法采用套扎痔体根部上方直肠黏膜的方法治疗内痔。结果 改进后的套扎治疗方法治疗效果优于传统痔体套扎治疗方法 ,各种内痔临床症状体征改善明显 ,P <0 0 5。且并发症少、安全性好。结论 改进后的内痔套扎治疗方法有效性、安全性较好 。

Objective To compare the clinical efficacy and safety between the improved ligation method and the traditional ligation method in the treatment of internal hemorrhoid. Methods Double blind and randomized study were made in 86 patients with internal hemorrhoid. The traditional method was performed by ligation of internal hemorrhoidal body, and the improved method was to ligate rectal mucous membrane above internal hemorrhoidal radicles. Results The improved method has better effect than the traditional method. The clinical symptoms of internal hemorrhoid such as bleeding,pain,constipation,edema,itching and erosion in the patients treated by the improved method were significantly improved compared with the patients treated by the traditional method(P<0 05). No major complications were observed in patients treated by the improved method. Conclusion Those data indicated that the improved ligation method is more effective and safer than the traditional ligation method in treatment of internal hemorrhoid.