内镜硬化剂注射术联合套扎术治疗Ⅲ度内痔的临床效果  

Clinical efficacy of endoscopic sclerosing agent injection combined with ligation for the treatment of third degree internal hemorrhoids

作　　者：杨月华 黄理[1] 姚朝光[1] 蓝婧[1] 黄佳 Yang Yuehua;Huang Li;Yao Chaoguang;Lan Jing;Huang Jia(Department of Gastroenterology,Hechi People’sHospital,Hechi,Guangxi 547000,China)

机构地区：[1]河池市人民医院消化内科,广西河池547000

出　　处：《中国内镜杂志》2024年第5期29-35,共7页China Journal of Endoscopy

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(No:Z20211178)。

摘　　要：目的 探究内镜硬化剂注射术联合套扎术治疗Ⅲ度内痔的临床效果。方法 选取2019年1月-2022年8月该院收治的Ⅲ度内痔患者100例,采用随机数表法分为对照组(50例,采用套扎术治疗)和研究组(50例,采用内镜硬化剂注射术联合套扎术治疗),比较两组患者临床疗效、术后恢复相关指标、肛管静息压、肛管最大收缩压(AMSP)、痔核脱垂程度和术后并发症发生率。结果 研究组总有效率高于对照组,差异有统计学意义(P <0.05);术后,研究组疼痛评分、创面出血评分、痔核脱垂程度评分和肛门水肿评分低于对照组,差异均有统计学意义(P <0.05);术后,两组患者肛管静息压和AMSP较术前明显降低,且研究组低于对照组,差异均有统计学意义(P <0.05)。结论 内镜硬化剂注射术联合套扎术治疗Ⅲ度内痔,效果显著,可促进患者术后恢复,改善肛肠动力学状态,减轻痔核脱垂程度,安全性好。Objective To explore the clinical effect of endoscopic sclerosing agent injection combined with ligation in the treatment of third degree internal hemorrhoids.Methods 100 patients with internal hemorrhoids from January 2019 to August 2022 were prospectively selected and divided into control group(50 patients,treated with ligation)and study group(50 patients,treated with endoscopic sclerosing agent injection combined with ligation).Clinical data of patients were collected,and the clinical efficacy,postoperative recovery related indicators,resting anal pressure,anal canal maximum systolic pressure(AMSP),degree of hemorrhoid prolapse and the incidence of postoperative complications were compared between the two groups.Results The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);After surgery,the pain score,wound bleeding score,degree of hemorrhoid prolapse score,and anal edema score in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After operation,the resting anal pressure and AMSP in both groups were obviously reduced,and the study group was lower than the control group(P<0.05).Conclusion The combination of endoscopic sclerosing agent injection combined with ligation for the treatment of internal hemorrhoids has a significant effect,which can improve the recovery of surgical and postoperative related indicators,improve the anal and intestinal dynamics,reduce the score of hemorrhoid prolapse,and have good safety.

关 键 词：内镜硬化剂注射术 套扎术 内痔 痔核脱垂 肛管静息压 

分 类 号：R657.18[医药卫生—外科学]