肛垫缝扎修复术治疗III度痔的临床对照研究

摘要

目的：探讨肛垫缝扎修复术治疗III度痔的疗效。方法：对100例III度痔患者随机分组,50例采用肛垫缝扎修复术(治疗组)治疗,50例采用超声多普勒痔动脉结扎术(DG-HAL，对照组)治疗,对两组疗效、并发症及患者满意度进行对比分析。结果：治疗组治愈率为86%，优于对照组的70%，（P＜0.05）；治疗组治疗费用为3138.09元，对照组为4020.43元（二者比较P＜0.05）。随访24个月，治疗组痔脱垂（2.3%）及总体复发率（7.0%）低于对照组（19.0%，23.8%，P＜0.05）；治疗组患者认为“好”、“很好”者分别为42例（95.4%）、39例（90.7%），对照组分别为37例（88.9%）、32例（76.2%）；两组术后疼痛、Wexner评分、继发出血、肛门不适等均具有较好的安全性(P＞0.05)。结论：肛垫缝扎修复术与DG-HAL相比，能有效解除III度痔病症状,有效、经济、安全，具有更高的患者满意度。%Objective To investigate anal cushion suture-fixation operation in the treatment of grade III hem⁃orrhoids. Methods One hundred cases of grade III hemorrhoids were randomly divided into treatment group (anal cushion suture-fixation operation,50 cases)and control group(Doppler-guided hemorrhoidal artery ligation DG-HAL),50 cases.The clinical effects and complications were compared between the two groups. Results Cure rates were 86% in treatment group and 70% in the control(P<0.05),the cost of treatment group was￥3138.09 VS ￥4020.43 in the control (P<0.05). Follow-up studies showed recurrences at 24 months after operation 7.0% and patients' satisfaction 95.4% (the treatment group) VS 23.8% and 88.9% (the control group) (P<0.05). There were no differences between the two groups(P>0.05)in complications, in postoperative pain scores,Wexner scores,bleeding, and the anal discomfort. Conclusion Anal cushion suture-fixation operation is valid in eliminating symptoms induced by grade III hemorrhoids.It is effective, economical and with better sat⁃isfaction than by DG-HAL.