结肠镜下消痔灵痔注射术与传统外剥内扎术治疗Ⅱ、Ⅲ度混合痔的临床对比研究  

Clinical Comparison of Xiaozhiling Hemorrhoids Injection under Colonoscopy and Traditional External Stripping and Internal Ligation in the Treatment of GradeⅡandⅢMixed Hemorrhoids

作　　者：霍振楠 马淑莹 HUO Zhennan;MA Shuying(Department of Proctology,People´s Hospital of Chancheng District,Foshan,Guangdong Province,528000 China)

机构地区：[1]广东省佛山市禅城区人民医院肛肠科,广东佛山528000

出　　处：《世界复合医学》2022年第12期77-80,共4页World Journal of Complex Medicine

基　　金：结肠镜下消痔灵痔注射术与传统外剥内扎术治疗Ⅱ、Ⅲ度混合痔临床对比研究(20200294)。

摘　　要：目的 观察透明帽辅助结肠镜下消痔灵痔注射术用于治疗Ⅱ、Ⅲ度混合痔患者的疗效。方法 选取2020年1月—2021年6月收治的60例混合痔患者为研究对象,以随机数表法分成观察组及对照组,各30例,对照组行传统痔外剥内扎术,观察组行透明帽辅助结肠镜下消痔灵痔注射治疗,比较两组手术效果。结果 两组总有效率比较,差异无统计学意义(P>0.05)。观察组术后第1天出血评分为(0.83±0.75)分,优于对照组,术后第1天和第4天疼痛评分为(1.03±0.72)分、(0.20±0.41)分,均优于对照组,差异有统计学意义(t=-2.898、-11.032、-9.786,P<0.05)。观察组并发症发生率为3.3%,明显低于对照组,差异有统计学意义(χ^(2)=4.706,P<0.05)。结论 行透明帽辅助结肠镜下消痔灵痔注射治疗与传统痔外剥内扎术疗效相近,但在疼痛程度、术后并发症发生情况方面,行透明帽辅助结肠镜下消痔灵注射治疗具有优势。Objective To observe the curative effect of Xiaozhiling hemorrhoids injection under colonoscope assisted by transparent cap in the treatment of patients with mixed hemorrhoids of grade II and III.Methods 60 patients with mixed hemorrhoids admitted from January 2020 to June 2021 were selected as the study subjects.They were randomly divided into observation group and control group,with 30 cases each.The control group was treated with traditional external peeling and internal ligation,while the observation group was treated with Xiaozhiling hemorrhoids injection under colonoscope assisted by transparent cap,and the surgical results of the two groups were compared.Results The total effective rate between the two groups compared,the difference was not statistically significant(P>0.05).The bleeding score on the first postoperative day(0.83±0.75)points was better than that of the control group,and the pain scores on the first and fourth postoperative days(1.03±0.72)points and(0.20±0.41)points were better than those of the control group,and the difference was statistically significant(t=-2.898,-11.032,-9.786,P<0.05).The complication rate in the observation group was 3.3%,which was significantly lower than that in the control group,and the difference was statistically significant(χ^(2)=4.706,P<0.05).Conclusion The efficacy of performing Xiaozhiling hemorrhoids injection under colonoscope assisted by transparent cap is similar to that of traditional external peeling and internal ligation of hemorrhoids.However,in terms of pain degree and postoperative complications,the treatment with transparent cap-assisted colonoscopy hemorrhoid injection has advantages.

关 键 词：结肠镜 混合痔 消痔灵注射术 

分 类 号：R266[医药卫生—中医外科学]