超声多普勒引导下痔动脉结扎术联合超声刀切除术治疗重度混合痔的临床疗效观察  

Clinical treatment observation of Doppler guided hemorrhoid artery ligation combined with ultrasound-knife excision for severe hemorrhoids

作　　者：项雄华 金海波[1] 刘丽丽[1] 吴为明[1] 蔡张喻 卿艳平[1] 

机构地区：[1]宁波大学医学院附属医院肛肠外科,315020

出　　处：《中国医师进修杂志》2016年第8期677-680,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的：探讨超声多普勒引导下痔动脉结扎术（DG-HAL）联合超声刀切除术在治疗重度混合痔的临床疗效。方法将87例重度混合痔患者按入院当天所在月份的奇偶分为A组（奇数月，采用DG-HAL联合超声刀切除术治疗，48例）和B组（偶数月，采用痔上黏膜环切术治疗，39例），比较两组患者的治疗情况。结果两组术后疼痛评分、总有效率比较差异无统计学意义（P＞0.05）；A组手术时间、总住院费用和术后出血、术后远期肛门不适感发生率明显低于B组[（25.5±2.8）min比（36.8±4.6）min、（7859±564）元比（10728±733）元、0比12.8%（5/39）、2.1%（1/48）比17.9%（7/39）]，患者满意度评分明显高于B组[（9.3±0.7）分比（8.1±0.6）分]，差异有统计学意义（P＜0.05）。结论 DG-HAL联合超声刀切除术治疗重度混合痔的疗效确切，手术创伤小，术后并发症少，住院费用相对低。Objective To explore the clinical treatment of Doppler guided hemorrhoid artery ligation （DG-HAL） combined with ultrasound-knife excision for severe hemorrhoids. Methods Eighty-seven patients with sever hemorrhoids were divided into 2 groups by the different admission months, the patients in group A （odd-numbered month） were treated by DG-HAL combined with ultrasound-knife excision, and the patients in Group B （bimonthly） were treated by procedure for prolaps and hemorrhoids. The clinical date were compared between 2 groups. Results There were no statistical differences in postoperative pain score and total efficient rate between 2 groups （P＆gt;0.05）. The operating time, total hospitalization expenses and the incidences of postoperative bleeding, long term postoperative anal discomfort in group A were significantly lower than those in group B： （25.5 ± 2.8） min vs. （36.8 ± 4.6） min, （7 859 ± 564） yuan vs. （10 728 ± 733） yuan, 0 vs. 12.8%（5/39） and 2.1%（1/48） vs. 17.9%（7/39）, the patient satisfaction score was significantly higher than that in group B： （9.3 ± 0.7） scores vs. （8.1 ± 0.6） scores, and there were statistical differences （P〉0.05）. Conclusions DG-HAL combined with ultrasound-knife excision to treat severe hemorrhoids has the definite treatment, less trauma, fewer complications and cheaper hospitalization expenses.

关 键 词：超声检查 多普勒 痔 痔动脉结扎术 痔上黏膜环切术 

分 类 号：R657.18[医药卫生—外科学]