首页|内镜下硬化剂注射治疗Ⅰ~Ⅲ度内痔的临床疗效分析

内镜下硬化剂注射治疗Ⅰ~Ⅲ度内痔的临床疗效分析

Clinical Efficacy of Endoscopic Injection Sclerotherapy for Grade Ⅰ to Ⅲ Internal Hemorrhoids

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目的:探讨内镜下硬化剂注射疗法(EIS)在Ⅰ~Ⅲ度内痔患者中的治疗效果.方法:选取2023年2月-2024年4月在宜昌市中心人民医院就诊的Ⅰ~Ⅲ度内痔100例患者,其中接受ESI的为观察组(n=43),接受吻合器痔上黏膜环切术(PPH)的为对照组(n=57),比较两组患者的临床疗效.结果:两组患者治疗有效率无明显差异;与对照组相比,观察组患者手术时间[(16.53±4.61)min vs(29.65±7.84)min]、术中失血量[(7.1 4±2.32)mL vs(18.62±4.22)mL]、止痛次数[(4.15±1.35)次 vs(9.87±2.37)次]、住院时间[(5.45±1.14)天 vs(7.64±1.52)天]及住院费用[(4.13±1.12)千元vs(6.63±1.24)千元]均明显减少,观察组患者术后24小时及术后30天疼痛程度明显减轻(均P<0.05);观察组患者并发症发生率(9.30%vs 45.61%)明显低于对照组(P<0.05).结论:EIS和PPH治疗Ⅰ~Ⅲ度内痔患者的治疗有效率无明显差异,接受EIS的患者手术时间短、术中出血量少、术后疼痛程度较轻、并发症发生率低且住院费用低.
Objective:To investigate the therapeutic effect of endoscopic injection sclerotherapy(EIS)in patients with grade Ⅰ~Ⅲ internal hemorrhoids.Methods:A total of 100 patients with grade Ⅰ~Ⅲ internal hemorrhoids who were treated in Yichang Central People's Hospital from February 2023 to April 2024 were selected.Among them,patients who received EIS were assigned to the observation group(n=43),and those who received procedure for prolapsing and hemorrhoids(PPH)were assigned to the control group(n=57).The clinical efficacy of the two groups was compared.Results:There was no significant difference in the treatment efficiency between the two groups.Compared with the control group,the operation time[(16.53±4.61)min vs(29.65±7.84)min],intraoperative blood loss[(7.14±2.32)mL vs(18.62±4.22)mL],number of analgesic administrations[(4.15±1.35)times vs(9.87±2.37)times],hospital stay[(5.45±1.14)days vs(7.64±1.52)days],and hospitalization expenses[(4.13±1.12)thousand yuan vs(6.63±1.24)thousand yuan]were significantly reduced in the observation group,and the pain intensity at 24 hours and 30 days after surgery was significantly lower in the observation group(all P<0.05).The incidence of complications in the observation group(9.30%vs 45.61%)was significantly lower than that in the control group(P<0.05).Conclusion:There was no significant difference in the treatment efficiency between EIS and PPH in patients with grade Ⅰ~Ⅲ internal hemorrhoids.Patients receiving EIS had shorter operation time,less intraoperative blood loss,milder postoperative pain,lower incidence of complications,and lower hospitalization expenses.

endoscopic injection sclerotherapy(EIS)procedure for prolapsing and hemorrhoids(PPH)internal hemorrhoids

杨智、仝巧云

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三峡大学 第一临床医学院[宜昌市中心人民医院]消化内科&三峡大学 消化疾病研究所,湖北宜昌 443003

内镜下硬化剂注射疗法 吻合器痔上黏膜环切术 内痔

2024

巴楚医学
三峡大学

巴楚医学

ISSN:2096-6113
年,卷(期):2024.7(4)