内镜下套扎术与聚桂醇硬化注射治疗Ⅱ、Ⅲ期内痔的效果比较  

Comparison of the efficacy of endoscopic ligation and sclerosing injection of Lauromacrogol in the treatment of stageⅡandⅢhemorrhoids

作　　者：陈文峰 范文伟 吴文华 CHEN Wenfeng;FAN Wenwei;WU Wenhua(Department of Gastroenterology,Gongguan Eighth People's Hopsital,Dongguan Children's Hospital,Guangdong Province,Dongguan523000,China)

机构地区：[1]广东省东莞市第八人民医院广东省东莞市儿童医院消化内科,广东东莞523000

出　　处：《中国当代医药》2022年第34期140-142,146,共4页China Modern Medicine

摘　　要：目的研究内镜下套扎术与聚桂醇硬化注射在Ⅱ、Ⅲ期内痔中的价值。方法选取2019年5月至2020年10月东莞市第八人民医院收治的66例Ⅱ、Ⅲ期内痔患者作为研究对象,采用随机数字表法将其分为研究组和对照组,每组各33例。研究组患者采用聚桂醇硬化注射治疗,对照组患者采用内镜下套扎术。比较两组患者的出血改善率、脱垂改善率、手术时长、失血量、伤口愈合时间、住院天数、医疗费用、并发症(一过性排尿困难、肛门坠胀)发生率、近期(治疗后6个月)与远期(治疗后12个月)脱垂以及出血的复发率。结果研究组患者的出血改善率、近期脱垂复发率高于对照组,差异有统计学意义(P<0.05)。研究组患者的脱垂改善率、失血量、医疗费用、并发症发生率、近期出血复发率低于对照组,伤口愈合时间、住院天数短于对照组,差异有统计学意义(P<0.05)。两组患者的手术时长、远期出血、脱垂复发率比较,差异无统计学意义(P>0.05)。结论两种治疗方法在Ⅱ、Ⅲ期内痔中疗效相当,其中内镜下套扎术治疗脱垂的效果较好,患者近期脱垂复发率较低,而聚桂醇硬化注射的止血效果显著,且住院天数及医疗费用较低,同时可降低并发症及出血复发率。Objective To study the value of endoscopic ligation and hardening injection of Lauromacrogol in the treatment of stageⅡandⅢhemorrhoids.Methods A total of 66 patients with stageⅡandⅢhemorrhoids admitted to the Eighth People's Hospital of Dongguan City from May 2019 to October 2020 were selected as the research objects.They were divided into study group and control group by random number table method,with 33 cases in each group.The study group was treated with Lauromacrogol sclerotherapy,and the control group was treated with endoscopic ligation.The bleeding improvement rate,prolapse improvement rate,operation duration,blood loss,wound healing time,hospital stay,medical expenses,incidence of complications(transient dysuria,anal distension),recent(6 months after treatment)and long-term(12 months after treatment)prolapse and bleeding recurrence rate were compared between the two groups.Results The rate of bleeding improvement and recurrence of recent prolapse in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The improvement rate of prolapse,blood loss,medical cost,complication rate and recurrence rate of recent bleeding in the study group were lower than those in the control group,and wound healing time and hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in operation duration,long-term bleeding and recurrence rate of prolapse between the two groups(P>0.05).Conclusion The two kinds of treatment for recurrent hemorrhoids in stageⅡandⅢhave similar efficacy,among which endoscopic ligation for prolapse is better,the recurrence rate of recent prolapse is lower,and hardening injection of Lauromacrogol has significant hemostatic effect,and the length of hospital stay and medical costs are lower,and can reduce the complication and recurrence rate of bleeding.

关 键 词：内痔 内镜下套扎术 聚桂醇硬化注射 电子内镜 

分 类 号：R657.18[医药卫生—外科学]