自动弹力线痔疮套扎术辅以黏膜下注射对轻中度混合痔的临床疗效
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摘要
目的:探讨自动弹力线痔疮套扎术辅以黏膜下注射对轻中度混合痔的临床疗效。方法:选取接受治疗的120例轻中度混合痔患者为研究对象,其中采用单纯自动弹力线痔疮套扎术的60例患者为对照组,采用自动弹力线痔疮套扎术辅以黏膜下注射治疗的60例患者为实验组,观察两组治疗效果。结果:实验组治疗总有效率为100.00%,明显高于对照组患者的85.00%,经治疗后两组治疗积分均有明显改善,而治疗后,实验组便血与肛门不适程度等症状积分均明显小于对照组;实验组并发症发生率为1.67%,明显低于对照组的13.33%(P<0.05);实验组没有出现复发情况,对照组复发率为1.67%,组间对比差异无统计学意义(P>0.05)。结论:混合痔是一种特殊的痔疮病症,手术是此病症的主要治疗手段,而应用自动弹力线痔疮套扎术辅以黏膜下注射治疗办法,能达到较为理想的治疗效果,且能有效控制并发症发生率及复发率。
Objective: To explore the clinical efficacy of automatic elastic line hemorrhoids ligation combined with submucosal injection for mild to moderate mixed hemorrhoids. Methods: A total of 120 patients with mild and moderate mixed hemorrhoids were selected as the research object. 60 patients with simple automatic elastic line hemorrhoid ligation were used as the control group, and 60 patients with submucous injection of automatic elastic line hemorrhoids were used as the experimental group, and the treatment effect of the two groups was observed. Results: The total effective rate of the experimental group was 100%, which was significantly higher than that of the control group(85%). After treatment, the treatment scores of the two groups were obviously improved, and after the treatment, the symptom scores of the patients in the experimental group were significantly lower than those of the control group, and the incidence of complications in the experimental group was 1.67%, which was significantly lower than that of the control group(13.33%), and the difference was statistically significant(P<0.05); there was no recurrence in the experimental group, and the recurrence rate in the control group was 1.67%. There was no significant difference between the two groups(P>0.05). Conclusion: Mixed hemorrhoid is a special disease of hemorrhoids. Operation is the main treatment method for this disease. The application of automatic elastic line hemorrhoid ligation with submucous injection has an clinical effects ideal, and it can effectively control the incidence and recurrence rate of complications.
Objective: To explore the clinical efficacy of automatic elastic line hemorrhoids ligation combined with submucosal injection for mild to moderate mixed hemorrhoids. Methods: A total of 120 patients with mild and moderate mixed hemorrhoids were selected as the research object. 60 patients with simple automatic elastic line hemorrhoid ligation were used as the control group, and 60 patients with submucous injection of automatic elastic line hemorrhoids were used as the experimental group, and the treatment effect of the two groups was observed. Results: The total effective rate of the experimental group was 100%, which was significantly higher than that of the control group(85%). After treatment, the treatment scores of the two groups were obviously improved, and after the treatment, the symptom scores of the patients in the experimental group were significantly lower than those of the control group, and the incidence of complications in the experimental group was 1.67%, which was significantly lower than that of the control group(13.33%), and the difference was statistically significant(P<0.05); there was no recurrence in the experimental group, and the recurrence rate in the control group was 1.67%. There was no significant difference between the two groups(P>0.05). Conclusion: Mixed hemorrhoid is a special disease of hemorrhoids. Operation is the main treatment method for this disease. The application of automatic elastic line hemorrhoid ligation with submucous injection has an clinical effects ideal, and it can effectively control the incidence and recurrence rate of complications.
引文
1.陈杏仪,廖明,彭小春.弹力线套扎与普通胶圈套扎治疗混合痔的疗效及安全性对比[J].包头医学院学报, 2018, 34(3):27-29.CHEN Xingyi, LIAO Ming, PENG Xiaochun. Comparison of efficacy andsafetybetweenelasticlineligationandcommonrubberring ligation[J]. Journal of Baotou Medical College, 34(3):27-29.
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6 .刘宁,董文娟,张亚锋.自动弹力线套扎术治疗混合痔的临床疗效观察[J].中国社区医师, 2017, 33(31):47-48.LIUNing,DONGWenjuan,ZHANGYafeng.Clinicalefficacy ofautomaticelasticw ireligationinthetreatmentofmi xed hemorrhoids[J]. Chinese Community Doctors, 2017, 33(31):47-48.
7 .晁忠,郭红飞.自动弹力线痔疮套扎器联合外痔切除术治疗混合痔的临床疗效分析[J].中外医疗, 2017, 36(14):110-112.CHAO Zhong, GUO Hongfei. Analysis of clinical curative effect of automatic ligation and external hemorrhoid resection in treatment of mixed hemorrhoid[J]. Friend of Chemical Industry, 2017, 36(14):110-112.
8 .龙庆,李艳,李俊,等.针刺下髎、长强穴治疗混合痔PPH术后肛门坠胀临床观察[J].中国针灸, 2016, 36(6):603-606.LONG Qing, LI Yan, LI Jun, et al. Clinical observation on anal pendant expansion after PPH of mixed hemorrhoid treated with acupuncture at Xialiao(BL 34)and Changqiang(GV 1)[J]. Chinese Acupuncture&Moxibustion, 2016, 36(6):603-606.
9 .李兆兴,杨少军,郭晓峰,等.自动弹力线痔疮套扎术临床应用研究[J].中国社区医师, 2017, 33(5):10-11.LI Zhaoxing, YANG Shaojun, GUO Xiaofeng, et al. Clinical application research of automatic elastic line hemorrhoid ligation[J]. Chinese Community Doctors, 2017, 33(5):10-11.
10 .邹贤军,周凯亮,刘国保,等.自动弹力线痔套扎器治疗混合痔132 例临床体会[J].结直肠肛门外科, 2016, 22(5):461-464.ZOU Xianjun, ZHOU Kailiang, LIU Guobao, et al. Clinical report of 132 cases of mixed hemorrhoids treated with the automatic elastic thread ligation device[J]. Journal of Colorectal&Anal Surgery, 2016,22(5):461-464.
11 .闻永,李俊,龙庆,等.电针联合穴位埋线用于混合痔术后疼痛研究[J].中国针灸, 2017, 37(3):243-246.WENYong,LIJun,LONGQing,etal.Electroacupuncture combined with catgut implantation for postoperative pain of mixed hemorrhoids[J]. Chinese Acupuncture&Moxibustion, 2017, 37(3):243-246.
2 .敖翔,陈方林.痔疮自动套扎术联合外剥内扎术治疗混合痔临床观察[J].实用中医药杂志,2018,06(03):364-365.AO Xiang, CHEN Fanglin. Clinical observation on the treatment of mixed hemorrhoids by automatic ligation of hemorrhoids combined with external exfoliation and internal ligation[J]. Journal of Practical Traditional Chinese Medicine, 2018, 34(3):364-365.
3 .美国结直肠外科医师协会标准化工作委员会.痔诊断和治疗指南(2010修订版)[J].中华消化外科杂志, 2012, 11(3):243-247.American Colorectal Surgeons Association Standardization Committee.Guidelines for the diagnosis and treatment of hemorrhoids(revised version 2010)[J]. Chinese Journal of Digestive Surgery, 2012, 11(3):243-247.
4 .张涛.吻合器痔上黏膜环形切除术对环状混合痔的疗效观察[J].河南医学研究, 2018, 27(1):70-71.ZHANGTao.Clinicalobservationofcircularhemorrhoidmixed hemorrhoids treated by prolapse and hemorrhoidectomy[J]. Henan Medical Research, 2018, 27(1):70-71.
5 .白岩,陈苏宁,陈丽荣,等.穴位埋针二白穴治疗混合痔术后疼痛[J].世界针灸杂志(英文版), 2015, 25(1):59-61.BAI Yan, CHEN Suning, CHEN Lirong, et al. Postoperative pain of mixed hemorrhoid treated by embedding needles in(E)rbái(二白EXUE 2)[J]. World Journal of Acupuncture-Moxibustion, 2015, 25(1):59-61.
6 .刘宁,董文娟,张亚锋.自动弹力线套扎术治疗混合痔的临床疗效观察[J].中国社区医师, 2017, 33(31):47-48.LIUNing,DONGWenjuan,ZHANGYafeng.Clinicalefficacy ofautomaticelasticw ireligationinthetreatmentofmi xed hemorrhoids[J]. Chinese Community Doctors, 2017, 33(31):47-48.
7 .晁忠,郭红飞.自动弹力线痔疮套扎器联合外痔切除术治疗混合痔的临床疗效分析[J].中外医疗, 2017, 36(14):110-112.CHAO Zhong, GUO Hongfei. Analysis of clinical curative effect of automatic ligation and external hemorrhoid resection in treatment of mixed hemorrhoid[J]. Friend of Chemical Industry, 2017, 36(14):110-112.
8 .龙庆,李艳,李俊,等.针刺下髎、长强穴治疗混合痔PPH术后肛门坠胀临床观察[J].中国针灸, 2016, 36(6):603-606.LONG Qing, LI Yan, LI Jun, et al. Clinical observation on anal pendant expansion after PPH of mixed hemorrhoid treated with acupuncture at Xialiao(BL 34)and Changqiang(GV 1)[J]. Chinese Acupuncture&Moxibustion, 2016, 36(6):603-606.
9 .李兆兴,杨少军,郭晓峰,等.自动弹力线痔疮套扎术临床应用研究[J].中国社区医师, 2017, 33(5):10-11.LI Zhaoxing, YANG Shaojun, GUO Xiaofeng, et al. Clinical application research of automatic elastic line hemorrhoid ligation[J]. Chinese Community Doctors, 2017, 33(5):10-11.
10 .邹贤军,周凯亮,刘国保,等.自动弹力线痔套扎器治疗混合痔132 例临床体会[J].结直肠肛门外科, 2016, 22(5):461-464.ZOU Xianjun, ZHOU Kailiang, LIU Guobao, et al. Clinical report of 132 cases of mixed hemorrhoids treated with the automatic elastic thread ligation device[J]. Journal of Colorectal&Anal Surgery, 2016,22(5):461-464.
11 .闻永,李俊,龙庆,等.电针联合穴位埋线用于混合痔术后疼痛研究[J].中国针灸, 2017, 37(3):243-246.WENYong,LIJun,LONGQing,etal.Electroacupuncture combined with catgut implantation for postoperative pain of mixed hemorrhoids[J]. Chinese Acupuncture&Moxibustion, 2017, 37(3):243-246.