吻合器痔上黏膜环切钉合术与超声引导下痔动脉结扎术治疗Ⅲ度混合痔术后肛管直肠压力的比较研究

摘要

Objective:To explore the anorectal pressure after procedure for prolapse and hemorrhoids and dopple guided hemorrhoid artery ligation in the treatment of Ⅲ degree mixed hemorrhoid.Methods:144 patients with Ⅲ degree mixed hemorrhoid were selected,they were divided into the observation group(n=74) and the control group(n=70),the control group was treated with procedure for prolapse and hemorrhoids(PPH),the observation group was treated by dopple guided hemorrhoid artery ligation(DGHAL),we compared the treatment effect of two groups.Results:In the observation group,the anal resting pressure and anal maximal systolic blood pressure were significantly higher than those of the control group(P<0.05).Conclusion:Compared with procedure for prolapse and hemorrhoids,dopple guided hemorrhoid artery ligation was used to treat Ⅲ degree mixed hemorrhoid,its effect on anal function was smaller,it can shorten the recovery time of anal function and improve the quality of life of patients.%目的：探讨吻合器痔上黏膜环切钉合术与超声引导下痔动脉结扎术治疗Ⅲ度混合痔术后肛管直肠压力。方法：收治Ⅲ度混合痔患者144例，分为观察组(n=74)和对照组(n=70)，对照组采用痔上黏膜环切钉合术(PPH)，观察组采用超声引导下痔动脉结扎术(DGHAL)，比较两组的治疗效果。结果：观察组患者肛管静息压与肛管最大收缩压明显高于对照组(P＜0.05)。结论：与吻合器痔上黏膜环切钉合术相比，超声引导下痔动脉结扎术治疗Ⅲ度混合痔对肛门功能影响较小，缩短肛门功能恢复时间，提高患者生存质量。