吻合器痔上黏膜环切钉合术与多普勒超声引导下痔动脉结扎术治疗Ⅱ～Ⅲ度痔病的效果比较

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摘要目的探讨吻合器痔上黏膜环切钉合术（PPH）与多普勒超声引导下痔动脉结扎术（DGHAL）治疗Ⅱ～Ⅲ度痔病的临床效果。方法选取2010年1月～2011年12月本院收治的Ⅱ～Ⅲ度痔病患者112例，根据手术方法将患者分为PPH术组（n=58）、DGHAL术组（n=54）。比较两组患者的手术疗效、并发症及复发情况。结果PPH术组的术后恢复日常活动时间长于DGHAL术组，术后痛评分高于DGHAL术组，差异有统计学意义（P＜0.05）。PPH术组术后远期[中位随访38个月（33～48个月）]症状评分及痔脱出复发率均低于DGHAL术组，差异有统计学意义（P＜0.05）。两组患者术后8周的并发症发生率差异无统计学意义（P＞0.05），术后远期，两组的所有并发症均消除。结论PPH术与DGHAL术均为治疗Ⅱ～Ⅲ度痔病较安全有效的手术方式，DGHAL术术后疼痛轻微，术后恢复日常活动时间短，而PPH术的远期效果可靠，痔脱出复发率低。

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	魏巍
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关键词 ：痔病, 吻合器痔上黏膜环切钉合术, 多普勒超声引导下痔动脉结扎术

Abstract：Objective To discuss the c1inica1 effect of procedure for pro1apse and hemorrhoids （PPH) and Dopp1erguided haemorrhoida1 artery 1igation （DGHAL) in the treatment ofⅡ-Ⅲdegree haemorrhoids. Methods 112 patients withⅡ-Ⅲdegree haemorrhoids treated by our hospita1 from January 2010 and December 2011 were chosen,and they were divided into PPH group （n=58) and DGHAL group （n=54) according to operation method.The curative effect of operation,comp1ication and recurrence between two groups was compared respective1y. Results The time of recovering dai1y activities after operation in PPH group was 1onger than that of DGHAL group,pain score after operation in PPH group was higher than that of DGHAL group,and there was a statistica1 difference （P＜0.05).Symptom score of postoperative 1ong-term [median fo11ow-up of 38 months （33-48 months)] and recurrence rate of hemorrhoids pro1apse in PPH group was 1ower than that of DGHAL group respective1y, and there was a statistica1 difference （P＜0.05).There was no statistica1 difference of incidence rate of comp1ication between two groups after 8 weeks operation （P＞0.05),at postoperative 1ong-term period, a11 comp1ications were e1iminated in the two groups. Conclusion PPH and DGHAL are more safe and effective method treating degreeⅡ-Ⅲhaemorrhoids.Postoperative pain is 1ight after DGHAL operation,and its time of recovering dai1y activities after operation is short,and 1ong term effect of PPH is re1iab1e,and its recurrence rate of hemorrhoids pro1apse is 1ow.

Key words： Haemorrhoids Procedure for pro1apse and hemorrhoids Dopp1er-guided haemorrhoida1 artery 1igation

作者简介: 魏巍（1980-），男，河南开封人，硕士，主治医师，研究方向：结直肠疾病的诊断与治疗

引用本文:

魏巍;魏东;李荣先;蔡建;彭昕. 吻合器痔上黏膜环切钉合术与多普勒超声引导下痔动脉结扎术治疗Ⅱ～Ⅲ度痔病的效果比较[J]. 中国当代医药, 2016, 23(8): 24-27.
WEI Wei;WEI Dong;LI Rong-xian;CAI Jian;PENG Xin. Effect comparison of procedure for prolapse and hemorrhoids and Doppler-guided haemorrhoidal artery ligation in the treatment ofⅡ-Ⅲdegree haemorrhoids. 中国当代医药, 2016, 23(8): 24-27.

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