首页|透明帽辅助内镜下硬化剂注射术治疗Ⅱ~Ⅲ度内痔对患者术后疼痛及肛肠动力学的改善作用

透明帽辅助内镜下硬化剂注射术治疗Ⅱ~Ⅲ度内痔对患者术后疼痛及肛肠动力学的改善作用

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目的 针对内镜下透明帽辅助硬化剂注射术用于Ⅱ至Ⅲ度内痔患者治疗中的有效性,分析患者的疼痛程度,了解其肛肠动力学改善情况.方法 选取2020年1月—2022年3月本院收治的Ⅱ~Ⅲ度内痔患者122例为研究对象,采用随机数字表法将其分为对照组和观察组,每组61例.对照组接受内镜下套扎术,观察组在此基础上联合聚桂醇硬化剂注射进行治疗,术后均随访3个月.对比各组的临床相关指标.结果 相较于对照组,观察组术中出血量更少,创面愈合用时更短,手术用时更长(P<0.05);与术前比,两组术后3个月肛管静息压(ARP)、肛管最大收缩压(MSP)、直肠静息压(RRP)均降低,但观察组高于对照组(P<0.05);与对照组相比,观察组疼痛评分、出血量评分、痔核脱垂评分、生活质量评分、并发症总发生率均明显更低(P<0.05).结论 Ⅱ~Ⅲ度内痔患者应用透明帽辅助内镜下硬化剂注射术治疗可减少术中出血量,促进创面愈合,减轻患者的疼痛程度,调节肛肠动力学,安全性较高.
Improvement Effect of Transparent Cap Assisted Endoscopic Sclerotherapy Injection on Postoperative Pains and Anorectal Dynamics of Patients with Grade Ⅱ-Ⅲ Internal Hemorrhoids
Objective To evaluate the effectiveness of endoscopic transparent cap assisted sclerotherapy in the treatment of patients with grade Ⅱ to Ⅲ internal hemorrhoids,analyze the pain degree of patients,and understand the improvement of anorectal dynamics.Methods A total of 122 cases were selected from January 2020 to March 2022.All samples had significant grade Ⅱ to Ⅲ internal hemorrhoids.Group selection random number table method,that is,control group and observation group,61 cases.The control group received endoscopic ligation,and the observation group was treated with cinnamyl alcohol sclerosing agent injection on this basis,and were followed up for 3 months.The clinical correlation indexes of each group were compared.Results In terms of intraoperative blood loss,the observation group was lower than the other group.Compared with the wound healing of each group,the operation time of the control group was longer,while the analysis of the operation time of each group showed that the control group was shorter (P<0.05).Compared with pre-operation,ARP,MSP and RRP were decreased 3 months after operation in both groups,but the observation group was higher than the control group (P<0.05).Compared with the control group,the pain score,blood loss score,hemorrhoidal prolapse score,quality of life score and total complication rate in the observation group were significantly lower (P<0.05).Conclusion The application of transparent cap assisted endoscopic sarifying agent injection in patients with grade Ⅱ~Ⅲ internal hemorrhoids can reduce the amount of intraoperative bleeding,promote wound healing,reduce the degree of pain,regulate anorectal dynamics,and have high safety.

Internal hemorrhoidsEndoscopic sclerosant injectionTransparent hatPains

陈五一、黄盖、田邦妮、李涛、万象、张继乔

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湖北省恩施州来凤县人民医院,湖北 恩施 445700

湖北民族大学附属民大医院,湖北 恩施 445099

内痔 内镜下硬化剂注射术 透明帽 疼痛

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)