国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
15期
2231-2233
,共3页
Ⅱ～Ⅲ度混合痔%多普勒超生引导下痔动脉结扎术%外科手术
Ⅱ～Ⅲ度混閤痔%多普勒超生引導下痔動脈結扎術%外科手術
Ⅱ～Ⅲ도혼합치%다보륵초생인도하치동맥결찰술%외과수술
Grades Ⅱ ～ Ⅲ hemorrhoids%Doppler-guided hemorrhoid artery ligatoion%Surgery
观察多普勒超生引导下痔动脉结扎术与外剥内扎痔切除术在混合痔治疗中的临床对比.方法 回顾我院肛肠科从2009至2011年收入院的182例混合痔患者的手术治疗效果,182例混合痔均为Ⅱ～Ⅲ度混合痔,随机分成两组,A组患者(n=92)行多普勒超生引导下痔动脉结扎术(Dopple-guidedhemorrhoidarteryligatoion,DG-HAL),B组患者(n=90)行传统的外剥内扎痔切除术(Milligan-MorganHemorrhoidectomy),比较两组患者术后平均住院时间、恢复工作时间、并发症及痔的复发率.结果 在手术时间无明显差别及术中麻醉药物用量基本相同的情况下,A组患者术后平均住院及恢复工作时间比B组明显缩短,差异有统计学意义(P＜ 0.05),A组患者术后的疼痛、出血、肛门便急感及肛门狭窄等并发症及痔复发率比B组明显降低,差异有统计学意义(P＜ 0.05).结论 多普勒超生引导下痔动脉结扎术与传统的外剥内扎痔切除术比较具有缩短患者住院及恢复工作时间、减少术后并发症等优点,满足了临床上痔治疗的微创外科要求.
觀察多普勒超生引導下痔動脈結扎術與外剝內扎痔切除術在混閤痔治療中的臨床對比.方法 迴顧我院肛腸科從2009至2011年收入院的182例混閤痔患者的手術治療效果,182例混閤痔均為Ⅱ～Ⅲ度混閤痔,隨機分成兩組,A組患者(n=92)行多普勒超生引導下痔動脈結扎術(Dopple-guidedhemorrhoidarteryligatoion,DG-HAL),B組患者(n=90)行傳統的外剝內扎痔切除術(Milligan-MorganHemorrhoidectomy),比較兩組患者術後平均住院時間、恢複工作時間、併髮癥及痔的複髮率.結果 在手術時間無明顯差彆及術中痳醉藥物用量基本相同的情況下,A組患者術後平均住院及恢複工作時間比B組明顯縮短,差異有統計學意義(P＜ 0.05),A組患者術後的疼痛、齣血、肛門便急感及肛門狹窄等併髮癥及痔複髮率比B組明顯降低,差異有統計學意義(P＜ 0.05).結論 多普勒超生引導下痔動脈結扎術與傳統的外剝內扎痔切除術比較具有縮短患者住院及恢複工作時間、減少術後併髮癥等優點,滿足瞭臨床上痔治療的微創外科要求.
관찰다보륵초생인도하치동맥결찰술여외박내찰치절제술재혼합치치료중적림상대비.방법 회고아원항장과종2009지2011년수입원적182례혼합치환자적수술치료효과,182례혼합치균위Ⅱ～Ⅲ도혼합치,수궤분성량조,A조환자(n=92)행다보륵초생인도하치동맥결찰술(Dopple-guidedhemorrhoidarteryligatoion,DG-HAL),B조환자(n=90)행전통적외박내찰치절제술(Milligan-MorganHemorrhoidectomy),비교량조환자술후평균주원시간、회복공작시간、병발증급치적복발솔.결과 재수술시간무명현차별급술중마취약물용량기본상동적정황하,A조환자술후평균주원급회복공작시간비B조명현축단,차이유통계학의의(P＜ 0.05),A조환자술후적동통、출혈、항문편급감급항문협착등병발증급치복발솔비B조명현강저,차이유통계학의의(P＜ 0.05).결론 다보륵초생인도하치동맥결찰술여전통적외박내찰치절제술비교구유축단환자주원급회복공작시간、감소술후병발증등우점,만족료림상상치치료적미창외과요구.
Objective To compare the clinical effect of Doppler-guided hemorrhoid artery ligatoion with that of Milligan-Morgan hemorrhoidectomy for mixed hemorrhoids.Methods The surgical efficacy of 182 patients who had been hospitalized in our department during the period of 2009 to 2011 were retrospectively reviewed.182 patients were randomly assigned to receive Doppler-guided hemorrhoid artery ligatoion ( 92 patients,group A ),or Milligan-Morgan hemorrhoidectomy ( 92 patients,group B ).The average length of hospital stay,time of returning to work,rate of complications,and rate of hemorrhoids recurrence were compared between the two groups.Results Under the conditions of same surgical duration and intraoperative narcotic uses,the average length of hospital stay and time of returning to work were shorter in group A than in group B,with a significant difference( P＜ 0.05 ).Rate of postoperative complications including pain,bleeding and anal stenosis,and rate of hemorrhoids recurrence were lower in group A than in group B,with a significant difference ( P ＜ 0.05 ).Conclusions Doppler-guided hemorrhoid artery ligatoion,as compared with Milligan-Morgan.hemorrhoidectomy,has the advantages of shorter length of hospital stay and time of returning to work and fewer postoperative complications.The procedure meets the standards of minimally invasive surgery for hemorrhoids.
