RPH联合消痔灵注射治疗痔病80例

目的:研究自动痔疮套扎术(RPH)联合消痔灵注射治疗痔病的临床疗效.方法:160例痔病患者按随机对照试验设计分成两组,对照组(单用RPH术)80例,治疗组(RPH联合消痔灵注射术)80例,比较两组治疗前后症状体征的变化、术后并发症情况,分别观察术后3,6个月的近期治愈率及术后1,2年的远期复发率.结果:两组各症状体征积分均下降明显(P＜0.05);治疗后3个月,组间相比各症状体征积分无明显差异;治疗后6个月,治疗组便血积分下降幅度明显大于对照组(P＜0.05);术后3,6个月两组疗效无明显差异;但在术后2年随访,治疗组复发率较对照组显著降低(P＜0.05);两组均无明显不良反应发生.结论:RPH联合消痔灵注射术是治疗痔病有效且安全的方法.

Clinical Investigation of RPH Combined with Hemorrhoidlysant Injection in the Treatment of Hemorrhoids for 80 Cases

Objective: To investigate the clinical efficacy of ruiyun procedure for hemorrhoids(RPH) Combined with hemorrhoidlysant injection in treating hemorrhoids. Method: One hundred sixty patients with hemorrhoids were divided into two groups according to control trail design by randomized method.Eighty patients in control group were treated with RPH and another has eighty patients in testing group were treated with RPH combined with hemorrhoidlysant injection.The changes of the symptom and physical sign at pre-therapy and post-treatment were compared, and the complications after operation were observed,the cure rate at three and six months after operation and the recurrence rate at 1 and 2 years after operation were observed. Result: The scores of symptom and physical sign were obviously decreased in both groups which after treatment (P<0.05); there was no difference in the scores for each symptom and physical sign between two groups at three months after operation; there was significant difference between the two groups in hemorrhage score,decreasing at six months after treatment (P<0.05) and there was no difference in other indexes. The effects of the treatment between the two groups at three months and six months after operation showing no significant difference, but there is significant difference in recutrence rate at the two years after operation. No serious adverse reactions occurred. Conclusion: RPH combined with hemorrhoidlysant injection are effective and safe in treating hemorrhoids.