健康研究
健康研究
건강연구
HEALTH RESEARCH
2014年
5期
520-521,524
,共3页
多普勒超声%痔动脉结扎术%痔病%疗效
多普勒超聲%痔動脈結扎術%痔病%療效
다보륵초성%치동맥결찰술%치병%료효
Doppler ultrasound%hemorrhoidal artery ligation%hemorrhoids%efficacy
目的：探讨多普勒超声引导下痔动脉结扎术治疗痔病的临床效果。方法150例内痔及混合痔患者分为观察组与对照组各75例，对照组给予传统的外剥内扎术治疗，观察组给予多普勒超声引导下痔动脉结扎术治疗，比较两组患者的治疗效果。结果两组脱出症状大部分消失，消失率无统计学意义（ P＞0．05）；观察组术后首次排便、术后一周便血发生率均低于对照组，差异有统计学意义（P＜0．05）；观察组患者术后疼痛及水肿评分显著低于对照组（ P＜0．05）；观察组有肛门下坠感及继发性出血的患者所占比例、尿潴留评分等与对照组比较差异不显著（P＞0．05）。结论采用多普勒超声引导下痔动脉结扎术治疗痔病，操作简单，疗效确切，并发症少，术后恢复快。
目的：探討多普勒超聲引導下痔動脈結扎術治療痔病的臨床效果。方法150例內痔及混閤痔患者分為觀察組與對照組各75例，對照組給予傳統的外剝內扎術治療，觀察組給予多普勒超聲引導下痔動脈結扎術治療，比較兩組患者的治療效果。結果兩組脫齣癥狀大部分消失，消失率無統計學意義（ P＞0．05）；觀察組術後首次排便、術後一週便血髮生率均低于對照組，差異有統計學意義（P＜0．05）；觀察組患者術後疼痛及水腫評分顯著低于對照組（ P＜0．05）；觀察組有肛門下墜感及繼髮性齣血的患者所佔比例、尿潴留評分等與對照組比較差異不顯著（P＞0．05）。結論採用多普勒超聲引導下痔動脈結扎術治療痔病，操作簡單，療效確切，併髮癥少，術後恢複快。
목적：탐토다보륵초성인도하치동맥결찰술치료치병적림상효과。방법150례내치급혼합치환자분위관찰조여대조조각75례，대조조급여전통적외박내찰술치료，관찰조급여다보륵초성인도하치동맥결찰술치료，비교량조환자적치료효과。결과량조탈출증상대부분소실，소실솔무통계학의의（ P＞0．05）；관찰조술후수차배편、술후일주편혈발생솔균저우대조조，차이유통계학의의（P＜0．05）；관찰조환자술후동통급수종평분현저저우대조조（ P＜0．05）；관찰조유항문하추감급계발성출혈적환자소점비례、뇨저류평분등여대조조비교차이불현저（P＞0．05）。결론채용다보륵초성인도하치동맥결찰술치료치병，조작간단，료효학절，병발증소，술후회복쾌。
Objective To understand the clinical effect of Doppler guided hemorrhoidal artery ligation ( DG-HAL) in the treatment of hemorrhoids.Method 150 cases of hemorrhoids and mixed hemorrhoid patients were divided into an experimental group (n=75) and a control group (n=75).The control group were treated with traditional external ligation stripping while the experimental group were treated with Doppler guided hemorrhoidal artery ligation.The therapeutic effects as observed in the two groups were compared.Findings Prolapse symptoms of two groups almost disappeared.The disappearance rate was not statistically significant (χ2 =4.879,P >0.05).The improvement degree of hemorrhoidal bleeding in the experimental group was better than that in the control group.The differences in the first defecating time and one week after operation between the two groups were significant (P<0.05).Postoperative pain and edema scores of the experimental group were significantly lower than that of the control group (P<0.05).The proportion of patients who had a sense of falling anus and secondary occurrence of anal bleeding, and urinary retention score of the experimental group had no significant difference as compared with that of the control group (P>0.05).Conclusion Doppler guided hemorrhoidal artery ligation ( DG-HAL ) in the treatment of hemorrhoids has the advantages of simple operation, less pain, faster recovery, and fewer complications.
