超声多普勒引导下痔动脉结扎术治疗混合痔临床观察 |
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引用本文: | 黄东平.超声多普勒引导下痔动脉结扎术治疗混合痔临床观察[J].中国肛肠病杂志,2014(5):19-21. |
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作者姓名: | 黄东平 |
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作者单位: | 上海市普陀区人民医院外科,上海200060 |
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摘 要: | 为探讨超声多普勒引导下痔动脉结扎术(DG—HAL)治疗痔病的临床疗效,对30例混合痔患者采用DG—HAL(DG—HAL组)治疗,与外切内扎组35例以及吻合器痔上黏膜环切术(PPH组)30例比较其治疗效果、不良反应和并发症。结果显示,DG—HAL治疗混合痔在出血方面与其他两组无显著性差异,在术后疼痛方面DG-HAL组优于PPH组和外切内扎组,在术后水肿方面DG-HAL组与PPH组无显著性差异,与外切内扎组有显著性差异(P〈0.05)。在术后住院时间及术后恢复正常活动时间方面DG—HAL组短于PPH组和外切内扎组。但在治疗痔脱出方面DG-HAL组不及其他两组。结果表明,超声多普勒引导下痔动脉结扎术创伤小、疼痛轻、恢复快、安全性高、并发症少,是治疗混合痔的有效方法。
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关 键 词: | 痔 超声多普勒引导 痔动脉结扎术 临床观察 |
Clinical Observation of Mixed Hemorrhoids Treated by Doppler Guided Hemorrhoidal Artery Ligation |
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Institution: | HUA NG Dong-ping (Department of Surgery ,Peoplgs Hospital of Putuo District ,Shanghai 200060) |
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Abstract: | In order to discuss the clinical efficacy of mixed hemorrhoids treated by Doppler guided hemorrhoidal artery ligation (DG-HAL), 30 cases underwent DG-HAL, 35 cases underwent external dissection and internal ligation,30 cases PPH. All the three groups were compared for clinical efficacy,adverse reactions and complications. The results showed that DG-HAL group showed no significant difference in bleeding from the other two groups, but was superior to the other two groups in postoperative pain. DG-HAL group showed no significant difference in postoperative edema from PPH group but showed significant difference from external dissection and internal ligation group( P 〈0.05). DG-HAL group had a shorter hospital stay and recovery time than the other two groups, but was inferior to them in treating prolapsed hemorrhoids. It is concluded that DG-HAL is effective for mixed hemorrhoids,with minor invasion, less pain, rapid recovery, high safety, and fewer complications. |
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Keywords: | Hemorrhoid Doppler guided Hemorrhoidal artery ligation Clinical observation |
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