CAJ | 학술논문

目的比较痔上黏膜环切钉合术(PPH)与痔胶圈套扎术(RBL)治疗Ⅲ度内痔的疗效.方法将100例Ⅲ度内痔患者随机分成PPH组(42例)和RBL组(58例),比较两组患者术后即刻、2周、2个月和6个月的疗效.结果 PPH组与RBL组在控制内痔脱垂、瘙痒症状方面疗效差异无统计学意义(P>0.05),但RBL组术后2周出血率(51.7%,30/58)高于PPH组(19.0%,8/42)(P<0.05);在整体满意度方面两组差异无统计学意义(P>0.05);在术后6个月的随访中,PPH组术后即刻、2周疼痛视觉模拟评分法评分高于RBL组(P<0.05),PPH组并发症总发生率(16.7%,7/42)高于RBL组(0,0/58)(P<0.05).结论痔胶圈套扎术可以作为Ⅲ度内痔的一线治疗方法.
목적 비교치상점막배절정합술(PPH)여치효권투찰술(RBL)치료Ⅲ도내치적료효.방법 장100례Ⅲ도내치환자수궤분성PPH조(42례)화RBL조(58례),비교량조환자술후즉각、2주、2개월화6개월적료효.결과 PPH조여RBL조재공제내치탈수、소양증상방면료효차이무통계학의의(P>0.05),단RBL조술후2주출혈솔(51.7%,30/58)고우PPH조(19.0%,8/42)(P<0.05);재정체만의도방면량조차이무통계학의의(P>0.05);재술후6개월적수방중,PPH조술후즉각、2주동통시각모의평분법평분고우RBL조(P<0.05),PPH조병발증총발생솔(16.7%,7/42)고우RBL조(0,0/58)(P<0.05).결론 치효권투찰술가이작위Ⅲ도내치적일선치료방법.
Objective To compare efficacy of procedure for prolapse and hemorrhoids (PPH) and rubber band ligation (RBL) in treatment of Ⅲ degree internal hemorrhoids.Methods One hundred patients with Ⅲ degree internal hemorrhoids were randomly divided into two groups and received PPH (42 cases) and RBL (58 cases) respectively.At once and after two weeks and two and six months the efficacy were compared.Results PPH and RBL were equally effective in controlling symptomatic prohpse (P>0.05),but RBL was associated with an increased incidence of recurrent bleeding (PPH 8/42 vs RBL 30/58,P<0.05);there was no difference in scores of patient satisfaction (P>0.05); PPH was associated with increased pain and analgesia usage at both at once and 2-week follow-up (P<0.05);the rate of complications in PPH was higber than in RBL (7/42 vs 0/58,P<0.05).Conclusion RBL can be used as treatment of first-line treatment of Ⅲ degree internal hemorrhoids.