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经肛套扎术与内镜下套扎术治疗内痔的疗效对比

张凤琼 李玲华 顾晨曦 高爽 张志云

中国肛肠病杂志2025,Vol.45Issue(9):21-23,3.
中国肛肠病杂志2025,Vol.45Issue(9):21-23,3.

经肛套扎术与内镜下套扎术治疗内痔的疗效对比

Comparison of Efficacy of Transanal Ligation and Endoscopic Ligation in Treatment of Internal Hemorrhoids

张凤琼 1李玲华 1顾晨曦 1高爽 1张志云1

作者信息

  • 1. 昆明市中医医院(云南 昆明 650011)
  • 折叠

摘要

Abstract

Objective To explore the clinical efficacy of transanal ligation and endoscopic ligation in the treatment of stage Ⅱ and Ⅲ internal hemorrhoids,objectively evaluate their respective treatment advantages,and provide references for clinical practice.Methods A total of 140 patients with stage Ⅱ and Ⅲ internal hemorrhoids admitted to our hospital from January 2023 to June 2024 were selected.They were randomly divided into a treatment group of 75 cases and a control group of 65 cases.The treatment group was treated with transanal hemorrhoid ligation,and the control group received endoscopic hemorrhoid ligation.The effi-cacy,postoperative complications,recurrence,etc.of the two groups were compared.Results The total effective rate of the treatment group was higher than that of the control group(98.67%VS 84.62%,P<0.05).The recurrence rate was lower than that of the control group(4.00%VS 13.85%,P<0.05).The hospitalization cost was lower than that of the control group(P<0.05).The pain score was higher than that of the control group(P<0.05),and the incidence of edema and premature rubber band shedding was lower than that of the control group(P<0.05).Conclusion Transanal ligation has a stable long-term efficacy and bet-ter economic benefits,but pain management needs to be optimized.Endoscopic ligation has less trauma but a higher recurrence rate.Clinically,the ligation method should be selected individually according to the condition.

关键词

内痔/经肛套扎术/内镜下套扎术/疗效

Key words

Internal hemorrhoids/Transanal ligation/Endoscopic ligation/Efficacy

引用本文复制引用

张凤琼,李玲华,顾晨曦,高爽,张志云..经肛套扎术与内镜下套扎术治疗内痔的疗效对比[J].中国肛肠病杂志,2025,45(9):21-23,3.

基金项目

昆明市卫生健康委局级项目(项目编号:2023-04-01-003) (项目编号:2023-04-01-003)

中国肛肠病杂志

1000-1174

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