中国现代手术学杂志2017，Vol.21Issue(1)：22-26,5.DOI:10.16260/j.cnki.1009-2188.2017.01.006
吻合器痔上黏膜环切订合术联合聚桂醇硬化剂注射治疗重度痔:86例疗效分析
Clinical Effect on Procedure for Prolapse and Hemorrhoids Combined with Sclerotherapy of Lauromacrogol Injection for Severe Hemorrhoids: 86 Cases Reports
雷庆军 1张毅强 1王益 1贺向东2
作者信息
- 1. 江苏省太仓市第一人民医院胃肠外科,太仓215400
- 2. 陕西省西安市中医医院肛肠外科,西安710021
- 折叠
摘要
Abstract
Objective To explore the clinical efficacy of procedure for prolapse and hemorrhoids (PPH)combined with sclerotherapy of lauromacrogol injection for treatment of severe hemorrhoids.Methods A total of 170 cases with severe hemorrhoids (Ⅲ or Ⅳ stage) were randomized into two groups:The treatment group (n =86) were treated by PPH combined with sclerotherapy lauromacrogol injection,and the control group (n =84) were performed the Milligan-Morgan haemorrhoidectomy combined with sclerotherapy of lauromacrogol injection.The peri-operative outcomes,clinical effect and postoperative complication were compared between two groups.Results The average operative duration and hospital stays was (23.25 ± 3.41)min and (5.20± 0.94) d respectively in the treatment group,and was (60.11 ± 4.85) min and (12.57 ± 1.52) d respectively in the control group.There was statistical difference in operative duration and hospital stays between two groups,the treatment group was better (P ＜ 0.05).The total result revealed the effective rate of the treatment group was 95.3％ and 96.5％ in prolapse symptom and hemorrhage symptom,both were higher than 85.7％ and 88.1％ of the control group (P ＜ 0.05).The postoperative complication of anal pain,anal-edge edema and dysuria was less in the treatment group than those in the control group (P ＜ 0.05),but there was no statistical difference in abnormal defecation between two groups (P ＞ 0.05).No anal stenosis was found during follow-up in both groups.Conclusion The treatment of PPH combined with sclerotherapy of lauromacrogol injection is an effective therapy for severe hemorrhoids with less damage of the anal function,reliable effect and simple operating.关键词
痔/吻合器痔上黏膜环切术/硬化疗法/聚桂醇/Milligan-Morgan术Key words
hemorrhoids/procedure for prolapse and hemorrhoids (PPH)/sclerotherapy/lauromacrogol/Milligan-Morgan procedure分类
医药卫生引用本文复制引用
雷庆军,张毅强,王益,贺向东..吻合器痔上黏膜环切订合术联合聚桂醇硬化剂注射治疗重度痔:86例疗效分析[J].中国现代手术学杂志,2017,21(1):22-26,5.
