内镜下套扎术与硬化剂注射术治疗Ⅰ~Ⅲ度内痔的临床应用  

Clinical Application of Endoscopic Ligation and Sclerosing Agent Injection in the Treatment of Internal Hemorrhoids of Degree I-III

作　　者：李霞[1] 马家静 郭娟 LI Xia;MA Jiajing;GUO Juan(Department of Internal Medicine II,the Fifth Division Hospital of Xinjiang Production and Construction Corps,Bole,Xinjiang Uygur Autonomous Region,833400 China)

机构地区：[1]新疆生产建设兵团第五师医院内二科,新疆博乐833400

出　　处：《世界复合医学》2023年第2期178-180,184,共4页World Journal of Complex Medicine

基　　金：五师科技计划项目(202215)。

摘　　要：目的研究分析Ⅰ~Ⅲ度内痔采用内镜下套扎术、硬化剂注射术治疗的临床效果。方法2021年2月—2022年2月选取新疆生产建设兵团第五师医院收治的Ⅰ~Ⅲ度内痔患者60例作为研究对象,为平均分组,对照组采取内镜下套扎术,观察组采取内镜下硬化剂注射术。对比治疗有效率、术后疼痛情况、预后复发情况等。结果观察组治疗有效率为93.33%,高于对照组的73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05)。对照组有明显疼痛,而观察组则于术后疼痛较轻,差异有统计学意义(P<0.05)。观察组的手术时间、伤口愈合时间、住院时间均短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。观察组复发率低于对照组相比,差异有统计学意义(P<0.05)。结论治疗Ⅰ~Ⅲ度内痔,内镜下硬化剂注射方式开展治疗,可对该病做到有效治疗,管控预后复发,功效良好。Objective To study and analyze the clinical efficacy of treatment of I-III degree internal hemorrhoids by endoscopic ligation and sclerosing agent injection.Methods From February 2021 to February 2022,60 patients with internal hemorrhoids of grade I to III were selected from the Fifth Division Hospital of Xinjiang Production and Construction Corps as the study subjects and grouped equally.The control group took endoscopic ligation and the observation group took endoscopic sclerosing agent injection.The treatment efficiency,postoperative pain and prognosis of recurrence were analyzed.Results The effective rate of treatment in the observation group was 93.33%,while that in the control group was 73.33%,which was higher in the observation group,the difference was statistically significant(χ^(2)=4.320,P<0.05).The control group had obvious pain,while the observation group had less pain after operation,the difference was statistically significant(P<0.05).The surgery time,wound healing time,and hospitalization time of the observation group were shorter than those of the control group,and the bleeding volume was less than that of the control group,the difference was statistically significant(P<0.05).The recurrence rate of observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The treatment of internal hemorrhoids of I-III degree,carried out by endoscopic sclerosing agent injection,can achieve effective treatment of the disease and control the prognosis of recurrence with good efficacy.

关 键 词：内镜下套扎术 硬化剂注射术 Ⅰ~Ⅲ度内痔 治疗功效 

分 类 号：R657[医药卫生—外科学]