临床外科杂志 ›› 2020, Vol. 28 ›› Issue (8): 778-780.doi: 10.3969/j.issn.1005-6483.2020.08.025

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聚桂醇硬化与外科手术治疗痔病的短期疗效对比分析

  

  1. 071000 河北省保定市第一中心医院消化内三科(杨义超、常媛媛、韩静、熊英),内镜诊疗中心(陈玉杰、熊英),普通外三科(杨亮)
  • 出版日期:2020-08-20 发布日期:2020-08-20
  • 通讯作者: 熊英,Email:xy_spring@163.com

Comparison of short term efficacy of lauromacrogol sclerosing and surgical treatment for hemorrhoids

  1. Department of Gastroenterology,the First Central Hospital of Baoding,Hebei Province,Baoding 071000,China
  • Online:2020-08-20 Published:2020-08-20

摘要: 目的  比较内镜下聚桂醇硬化与外科手术治疗痔病的疗效及术后并发症。
方法  痔病病人93例,分为两组,研究组48例,采用聚桂醇硬化治疗,对照组45例,采用外科外剥内扎治疗。比较两组临床疗效、主观感受及术后并发症的差异。
结果  研究组44例完成随访,治愈21例,显效11例,有效8例,无效4例,总有效率90.91%;对照组42例完成随访,治愈23例,显效13例,有效4例,无效2例,总有效率95.24%;两组病人临床疗效及总有效率的差别无统计学意义(P>0.05)。治疗前后,两组病人欧洲五维健康量表(EQ-5D-5L)和Vaizey大便失禁评分量表的差异均无统计学意义(P>0.05)。研究组术后不良反应发生率为9.09%,对照组为28.57%,研究组不良反应率低于对照组(P<0.05)。
结论  内镜下聚桂醇硬化与外科结扎手术治疗痔的短期疗效相当,但其术后并发症更少。

关键词: 痔, 聚桂醇, 硬化, 痔切除术, 疗效, 并发症

Abstract: Objective To compare the curative effect and postoperative complications of hemorrhoids between lauromacrogol injection and surgical ligation,in order to explore the best method for hemorrhoids.
Methods 93 patients with hemorrhoids were divided into two groups:48 patients received endoscopic sclerotherapy; 45 patients underwent surgical ligation.The clinical efficacy,subjective feelings and postoperative complications between the two groups were compared.
Results 44 cases in the study group completed the study,in which 21 cases cured,11 cases markedly effective,8 cases effective,4 cases ineffective,and the total effective rate was 90.91%.42 cases in the control group were completed the study,in which 23 cases cured,13 cases markedly effective,4 cases effective,2 cases ineffective,and the total effective rate was 95.24%.There was no significant difference in clinical efficacy and total effective rate between the two groups(P>0.05).Before and after treatment,there was no significant difference in European quality of life-5 dimensions,5-level(EQ-5D-5L)and Vaizey scores between the two groups(P>0.05).The incidence of postoperative adverse reactions in the study group was lower than that in the control group(9.09% vs 28.57%,P<0.05).
Conclusion Sclerotherapy is equivalent to hemorrhoidectomy in short-term efficacy,but has fewer postoperative complications.

Key words: hemorrhoids, lauromacrogol, sclerotherapy, hemorrhoidectomy, efficacy, complication

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