套扎技术治疗Ⅰ~Ⅳ期内痔的临床疗效分析  

Clinical curative effect analysis of ligation technology in the treatment of I-Ⅳ phase hemorrhoids

作　　者：张志云[1] 王晓岚[1] 万伟萍[1] 高爽[1] 王剑达[1] 张凤琼 谭玟 张雪琴 Zhang Zhiyun;Wang Xiaolan;Wan Weiping;Gao Shuang;Wang Jianda;Zhang Fengqiong;Tan Wen;Zhang Xueqin

机构地区：[1]昆明市中医医院,云南昆明650011

出　　处：《中医临床研究》2021年第9期122-124,共3页Clinical Journal Of Chinese Medicine

基　　金：昆明市科技计划项目——套扎技术治疗ⅠⅣ期内痔规范研究与应用(2019-I-S-25318000001493)。

摘　　要：目的:探讨套扎技术治疗Ⅰ~Ⅳ期内痔的临床疗效,为临床治疗Ⅰ~Ⅳ期内痔提供借鉴。方法:在云南省昆明市中医医院2019年7月-2020年1月诊治的Ⅰ~Ⅳ期内痔患者中选取306例做研究对象,并按摸球法随机分组。对照组(153例)应用传统外剥内扎术式,研究组(153例)应用套扎技术,就两组患者术中出血量、疼痛程度、手术费用以及预后进行统计学分析。结果:研究组术中出血量、手术费用少于对照组(t=15.699、72.901,P=0.000、0.000),且研究组患者的术后6 h的疼痛视觉模拟评分(Visual Analogue Scale,VAS)低于对照组,统计学差异均有显著性(t=17.376,P=0.000);研究组瘢痕质地较硬,而对照组较软,且研究组患者的平均瘢痕脱落时间短于对照组(t=37.497,P=0.000);研究组术后出血率(11.11%,17/153)高于对照组(3.27%,5/153),组间比较差异有统计学意义(χ^(2)=7.052,P=0.008)。结论:套扎技术治疗Ⅰ~Ⅳ期内痔的临床价值显著,虽容易并发术后出血,但术中出血量较少、疼痛感轻微,瘢痕质地较硬、更容易脱落,且价格低廉,可作为治疗Ⅰ~Ⅳ期内痔的首选治疗技术,应用前景良好,建议推广。Objective: To explore the curative effect of ligation technology in the treatment of I-Ⅳ phase hemorrhoids and to provide reference for the clinical treatment of I-Ⅳ phase hemorrhoids. Methods: From July 2019 to January 2020, 306 patients with I-Ⅳinternal hemorrhoids treated in Kunming Hospital of Traditional Chinese Medicine, Yunnan Province were selected as subjects and randomly divided into groups according to touch-ball method. Patients in the control group(153 cases) were treated with traditional external extirpation and internal ligation, and patients in the study group(153 cases) were treated with ligation. The amount of intraoperative blood loss, pain, operation cost and prognosis of patients in the two groups were statistically analyzed. Results: The amount of intraoperative blood loss and operation cost in the study group were lower than those in the control group(t=15.699, 72.901, P=0.000,0.000), and the pain VAS score 6 h after surgery in the study group was lower than that in the control group, which was with statistically significant differences(t=17.376, P=0.000). The scar texture in the study group was harder than that in the control group, and the average time of scar peeling in the study group was shorter than that in the control group(t=37.497, P=0.000). The postoperative bleeding rate of the study group was 11.11%(17/153), which was higher than that of the control group(3.27% 5/153), and the difference between groups was statistically significant(χ^(2)=7.052, P=0.008). Conclusion: Ligation technology has significant value in the treatment of I-Ⅳ phase hemorrhoids, although it is easily complicated with postoperative hemorrhage, it has less intraoperative blood loss and pain, the scar is harder, which is easier to fall off, and the price is low, therefore, it can be a good choice for I-Ⅳ phase hemorrhoids, of which the application prospect is good, and it is worthy of being recommended.

关 键 词：套扎技术 分期 内痔 疼痛 预后 费用 炎证^(+) 

分 类 号：R266[医药卫生—中医外科学]