中国内镜杂志2024，Vol.30Issue(5)：29-35,7.DOI:10.12235/E20230141
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
摘要
Abstract
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Key words
endoscopic sclerosing agent injection/ligation/internal hemorrhoids/hemorrhoid prolapse/resting anal pressure分类
医药卫生引用本文复制引用
杨月华,黄理,姚朝光,蓝婧,黄佳..内镜硬化剂注射术联合套扎术治疗Ⅲ度内痔的临床效果[J].中国内镜杂志,2024,30(5):29-35,7.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(No:Z20211178) （No:Z20211178）
