透明帽辅助内镜下硬化术治疗内痔的疗效评估  

Evaluation of the efficacy of transparent cap assisted endoscopic sclerotherapy in the treatment of internal hemorrhoids

作　　者：郑丽[1] 黄亚琴 么玲 曾志萍 蔡文娟[1] 喻春辉 李宾[1] ZHENG Li;HUANG Yaqin;YAO Ling;ZENG Zhiping;CAI Wenjuan;YU Chunhui;LI Bin(Department of Gastroenterology,Nanchang First Hospital,Nanchang,Jiangxi 330000,China)

机构地区：[1]江西省南昌市第一医院消化科,江西南昌330000

出　　处：《检验医学与临床》2024年第5期613-615,622,共4页Laboratory Medicine and Clinic

基　　金：江西省卫生健康委员会科技计划项目(202211601)。

摘　　要：目的 探讨透明帽辅助内镜下硬化术(CAES)治疗内痔的疗效。方法 选取2021年1月至2022年5月该院收治的70例Ⅰ~Ⅲ期内痔患者,按照随机数字表法分为研究组和对照组,各35例。对照组进行胶圈套扎治疗,研究组进行CAES治疗。比较两组术后3个月疗效、临床指标(手术时间、住院时间、住院费用)、术后3 d疼痛程度、预后情况及满意度。结果 研究组术后3个月总有效率、满意度均高于对照组,手术时间、住院时间均短于对照组,住院费用、术后3 d疼痛程度、并发症总发生率、复发率均低于对照组,差异均有统计学意义(P<0.05)。结论 CAES治疗内痔的效果较好,术后疼痛轻、并发症少、恢复快,可缩短住院时间,减少住院费用,且复发率低,患者满意度较高,值得在临床推广应用。Objective To investigate the efficacy of transparent cap assisted endoscopic sclerotherapy(CAES) in the treatment of internal hemorrhoids.Methods A total of 70 patients with stage Ⅰ-Ⅲ internal hemorrhoids admitted to this hospital from January 2021 to May 2022 were selected and divided into study group and control group according to random number table method,with 35 cases in each group.The control group was treated with rubber ring lashing and the study group was treated with CAES.The curative effect 3 months after operation,clinical indexes(operation time,hospitalization time,hospitalication cost),pain degree 3 days after operation,prognosis 3 months after operation satisfaction of the two groups were compared.Results The total effective rate 3 months after operation and satisfaction of the study group were higher than those of the control group,the operation time and hospitalization time were shorter than those of the control group,and the hospitalization cost,pain degree 3 days after operation,total complication rate and recurrence rate were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion CAES has a good effect on the treatment of internal hemorrhoids,with less postoperative pain,fewer complications,faster recovery,shorter hospitalization time,lower hospitalization costs,lower recurrence rate,and higher patient satisfaction,which is worthy of clinical promotion and application.

关 键 词：内痔 内镜硬化术 透明帽辅助 胶圈套扎 疼痛程度 并发症 满意度 

分 类 号：R575[医药卫生—消化系统]