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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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

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	WEI Wei
	WEI Dong
	LI Rong-xian
	CAI Jian
	PENG Xin

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WEI Wei,WEI Dong,LI Rong-xian, et al. Effect comparison of procedure for prolapse and hemorrhoids and Doppler-guided haemorrhoidal artery ligation in the treatment ofⅡ-Ⅲdegree haemorrhoids[J]. 中国当代医药, 2016, 23(8): 24-27.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I8/24

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