引用本文:韩滨泽,杨铁军,何 瑾,鲁明良.矾藤痔注射液注射法与胶圈套扎法治疗各期痔疮的疗效对比观察[J].中国临床新医学,2019,12(2):179-182.
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矾藤痔注射液注射法与胶圈套扎法治疗各期痔疮的疗效对比观察
韩滨泽,杨铁军,何 瑾,鲁明良
310013 浙江,安徽医科大学解放军杭州临床学院(韩滨泽,鲁明良);310013 杭州,中国人民解放军第一一七医院肛肠外科(杨铁军,鲁明良);310000 浙江,杭州市江干区人民医院肛肠外科(何 瑾)
摘要:
[摘要] 目的 比较观察矾藤痔注射液注射法与胶圈套扎法治疗各期痔疮的临床疗效和并发症发生情况。方法 选择2017-05~2017-11在中国人民解放军第一一七医院治疗的204例各期痔疮患者作为研究对象,按照不同治疗方法分为观察组和对照组,各102例。观察组采用矾藤痔注射液行痔黏膜下注射法治疗,对照组采用胶圈套扎法治疗。比较两组的临床疗效、手术时间、平均住院时间、术后出血、疼痛、坠胀等并发症发生情况。结果 观察组总有效率(94.12%)与对照组(93.14%)比较差异无统计学意义(P>0.05)。观察组手术时间短于对照组,差异有统计学意义(P<0.05)。观察组术中出血量大于对照组(P<0.05),住院时间短于对照组(P<0.05)。观察组术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 应用矾藤痔注射液注射法治疗各期痔疮较胶圈套扎法疗效更显著,可减轻患者坠胀感、肛门水肿情况,并发症发生率低,具有恢复快,住院时间短等优点,适合基层医院推广。
关键词:  矾藤痔注射液注射法  胶圈套扎法  固脱疗法  铝离子  各期痔疮
DOI:10.3969/j.issn.1674-3806.2019.02.16
分类号:R 657.1
基金项目:
Comparison of the curative effects between alum hemorrhoid injection and hemorrhoid ligation in treatment of different stages of hemorrhoids
HAN Bin-ze, YANG Tie-jun, HE Jin, et al.
Hangzhou Clinical College of the Chinese People′s Liberation Army of Anhui Medical University, Zhejiang 310013, China
Abstract:
[Abstract] Objective To study the postoperative curative effects and complications between alum hemorrhoid injection and hemorrhoid ligation in treatment of different stages of hemorrhoids. Methods Two hundred and four patients with different stages of hemorrhoids were selected as the study subjects in our hospital from May 2017 to November 2017. The patients were divided into observation group and control group according to different treatment methods, with 102 cases in each groups. The observation group received hemorrhoid injection while the control group received automatic hemorrhoid ligation. The clinical effects, the operation time, the time of hospitalization, the postoperative bleeding, the complications such as pain and swelling and safety evaluation were compared between the two groups. Results There was no significant difference in the total effective rate between the observation group(94.12%) and the control group(93.14%)(P>0.05). The time of operation in the observation group was significantly shorter than that in the control group(P<0.05). The amount of bleeding during operation in the observation group was significantly larger than that in control group(P<0.05). The hospitalization time in the observation group was significantly shorter than that in the control group(P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion The alum hemorrhoid injection has better curative effects on hemorrhoids than hemorrhoid ligation in the treatment of different stages of hemorrhoids, and it shows advantages in reducing the sense of fall bilge feeling and anal edema and shortens the time of hospitalization and reduces the incidence of postoperative complications and enhances recovery after treatment. It is suitable for basic-level hospitals.
Key words:  Alum hemorrhoid injection  Hemorrhoid ligation  Proctoptosia inhibiting injection  Aluminium ion  Different stages of hemorrhoids