痔上黏膜分点套扎术治疗Ⅲ度内痔疗效观察  

Clinical analysis of hemorrhoidal mucosa ligation at separate points in treating stage-Ⅲ internal hemorrhoids

作　　者：陈国安[1] 孙建华[2] 唐淑华[1] 储范昕[1] 

机构地区：[1]上海市静安区中心医院中医外科,上海200040 [2]上海中医药大学附属岳阳中西医结合医院肛肠科,上海200437

出　　处：《上海中医药杂志》2012年第12期55-57,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海申康医院发展中心上海市级医院适宜技术联合开发推广应用项目(SHDC12010217)

摘　　要：目的观察痔上黏膜分点套扎术治疗Ⅲ度内痔的临床疗效。方法将60例Ⅲ度内痔患者随机分为治疗组和对照组,每组30例;治疗组采用痔上黏膜分点套扎术,对照组采用传统的痔核基底套扎术,观察临床疗效和术后并发症的发生情况。结果治疗组和对照组总有效率均为100%,组间临床疗效差异无统计学意义(P>0.05);两组创口疼痛积分差异有统计学意义(P<0.05),创面出血、创缘水肿、小便困难积分差异无统计学意义(P>0.05)。结论痔上黏膜分点套扎术治疗Ⅲ度内痔临床近期疗效与传统的痔核基底套扎术相似,但能明显减轻术后伤口疼痛。Objectives To observe the clinical efficacy of hemorrhoidal mucosa ligation in the treatment of stage-Ⅲ internal hemorrhoids.Methods Sixty subjects were randomly divided into treatment group and control group,with 30 patients in each group.The treatment group was treated by hemorrhoidal mucosa ligation at separate points,and the control group with traditional hemorrhoids substrate ligation.Clinical efficacy and the occurrence of post-operative complications in both groups were observed.Results The effective rates in both treatment and control groups were 100%,with no difference between the two groups（P0.05）;there was a striking difference in the post-operative wound pain score between the two groups（P0.05）;while there were no differences in wound bleeding,wound edge edema and difficulty in urination between the two groups（P0.05）.Patients in both groups have no sign of prolapse after the treatment.Conclusion In the treatment of stage-Ⅲ hemorrhoids,hemorrhoidal mucosa ligation at separate points acts similarly with traditional hemorrhoids substrate ligation,but with milder wounds pain.

关 键 词：内痔 中医药疗法 痔上黏膜分点套扎术 

分 类 号：R657.18[医药卫生—外科学]