半导体激光痔凝固术对Ⅲ度内痔疗效的探讨  

Effect of diode laser coagulation treatment on grade Ⅲ internal hemorrhoids

作　　者：王东[1] 钟克力[1] 陈建林[1] 王晓学[1] 潘凯[1] 夏利刚[1] 陈小春[1] 杨晓东[1] 

机构地区：[1]暨南大学医学院第二附属医院深圳市人民医院胃肠外科,518020

出　　处：《中华胃肠外科杂志》2005年第4期325-327,共3页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的探讨半导体激光痔凝固术对Ⅲ度内痔的治疗效果。方法将2004年3月至12月收治的86例Ⅲ度内痔患者分为激光组与痔切除组,进行疗效对比观察。结果激光组术后第1天及第7天疼痛评分均明显低于痔切除组。排便时两组均有少量出血,其中激光组12例,切除组35例,均无需止血治疗。6个月后门诊随访,两组患者痔核脱出均得以纠正,无复发,无肛门失禁,满意度评分激光组患者平均2.8分,痔切除组平均2.6分。结论半导体激光痔凝固术治疗Ⅲ度内痔方法简单、疼痛轻微、安全有效。Objective To evaluate the curative effects of diode laser coagulation on grade Ⅲ internal hemorrhoids. Methods Form March 2004 to December 2004,86 patients with grade Ⅲ internal hemorrhoids were divided into two groups,received laser coagulation (laser group,n=46) or received hemorrhoidectomy (control group,n=40). Complications,symptom relief,pain scores and satisfaction scores were compared between the two groups six months after operation. Results Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation. Small amount of bleeding occurred in the laser group (12 cases) and control group (35 cases), however, non of them required special hemostasis. Laser coagulation and closed hemorrhoidectomy were equally effective in controlling symptomatic prolapse. There was no difference in terms of continence scores and patients’ satisfaction between the two groups (P >0.05). Conclusion Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade Ⅲ hemorrhoids.

关 键 词：半导体激光 凝固术 内痔 Ⅲ度 2004年3月 疗效对比观察 痔切除 治疗效果 疼痛评分 少量出血 止血治疗 门诊随访 肛门失禁 患者 无复发 满意度 平均 

分 类 号：R657.1[医药卫生—外科学]