内镜下聚桂醇注射与套扎术、PPH术治疗Ⅱ、Ⅲ度痔的临床对比研究  

Clinical comparative study of endoscopic injection of poly(cinnamyl alcohol),ligation and PPH in the treatment of grade Ⅱ and Ⅲ hemorrhoids

作　　者：艾利 马淑莹 罗莹 Ai Li;Ma Shuying;Luo Ying(Department of internal medicine,Chancheng District People's Hospital,Foshan,Guangdong 528000,China)

机构地区：[1]广东省佛山市禅城区人民医院,广东佛山528000

出　　处：《首都食品与医药》2023年第8期31-34,共4页Capital Food Medicine

基　　金：广东省佛山市自筹经费类科技计划项目(项目编号:2020001005411)。

摘　　要：目的探讨内镜下聚桂醇注射与套扎术、PPH术治疗Ⅱ、Ⅲ度痔的临床疗效差异。方法收集广东省佛山市禅城区人民医院2021年1月-2022年9月期间收治的Ⅱ、Ⅲ度痔的患者90例进行研究,按照不同的手术方式分为透明帽辅助结肠镜下硬化术治疗组(CAES组)、自动胶圈套扎术治疗组(RPH组)和痔上黏膜环切吻合术治疗组(PPH组),分析临床中使用透明帽辅助结肠镜下聚桂醇硬化剂注射(CAES)治疗Ⅱ、Ⅲ度痔的临床疗效、治疗情况、患者的接受度、并发症以及复发率等,并与RPH、PPH手术进行对比研究。结果观察三组手术的治疗总有效率,CAES组与RPH组比较,有统计学差异,P<0.05。CAES组与PPH组比较,无统计学差异,P>0.05;分析三组患者的临床治疗情况与患者接受度,CAES组患者的手术时间、术中出血量、住院时间以及住院费用均低于RPH组和PPH组,差异具有统计学意义,P<0.05。同时CAES组患者的接受度高于RPH组和PPH组,CAES组与RPH组比较,具有统计学差异,P<0.05。CAES组与PPH组比较,无统计学差异,P>0.05;分析三组患者的并发症及复发率,CAES组患者的并发症总发生率以及复发率低于RPH组,数据比较,具有统计学差异,P<0.05;CAES组与PPH组比较,无统计学差异,P>0.05。结论内镜下聚桂醇注射可精准治疗,与套扎术和痔上黏膜环切吻合术相比,具有良好的临床治疗效果,可以降低手术治疗时间,减少术中、术后出血量,并降低患者住院时间与住院费用,有较高的患者接受度,因此值得在临床中推广与应用。Objective To compare the clinical efficacy of endoscopic polycinnamol injection,ligation and PPH in the treatment of grade Ⅱ and Ⅲ hemorrhoids.Methods 90 patients with grade Ⅱ and Ⅲ hemorrhoids admitted to our hospital from January 2021 to September 2022 were studied.They were divided into transparent cap assisted colonoscopic sclerotherapy group(CAES group),automatic rubber band ligation group(RPH group)and prolapse and hemorrhoids circular mucosal resection and anastomosis group(PPH group)according to different surgical methods.The clinical efficacy,treatment,patient acceptance,complications and recurrence rate of third degree hemorrhoids were compared with RPH and PPH.Results The total effective rate of the three groups was observed.There was a statistical difference between CAES group and RPH group(P<0.05).There was no significant difference between CAES group and PPH group(P>0.05);according to the analysis of the clinical treatment and patient acceptance of the three groups,the operation time,intraoperative bleeding,hospitalization time and hospitalization cost of patients in CAES group were lower than those in RPH group and PPH group,and the difference was statistically significant(P<0.05).At the same time,the acceptance of patients in CAES group was higher than that in RPH group and PPH group,and there was a statistical difference between CAES group and RPH group(P<0.05).There was no significant difference between CAES group and PPH group(P>0.05);analyze the complication and recurrence rate of three groups of patients.The total incidence of complication and recurrence rate of patients in CAES group was lower than that in RPH group,with statistical difference(P<0.05);there was no significant difference between CAES group and PPH group(P>0.05).Conclusion Endoscopic poly(cinnamyl alcohol)injection can be used for precise treatment.Compared with ligation and circumcision and anastomosis of hemorrhoid mucosa,it has a good clinical therapeutic effect.It can reduce the surgical treatment time,intraoperati

关 键 词：结肠镜 聚桂醇 硬化剂注射 RPH(胶圈套扎) PPH(痔上黏膜环切吻合术) 

分 类 号：R657.18[医药卫生—外科学]