阿迪力江·艾麦提,马木提江·阿巴拜克热,吴瑄.痔血管超声定位加选择性痔上黏膜切除术治疗痔82例回顾性临床分析[J].安徽医药,2017,21(4):650-653. |
痔血管超声定位加选择性痔上黏膜切除术治疗痔82例回顾性临床分析 |
Clinical retrospective study of the doppler-guided hemorrhoidal artery with tissue-selecting therapy for the treatment of hemorrhoids |
投稿时间:2016-12-10 |
DOI: |
中文关键词: 痔 超声多普勒痔动脉定位 选择性痔上黏膜切除术 |
英文关键词: |
基金项目:国家自然科学基金(81460133);新疆维吾尔自治区区域协同创新专项(2016E02063) |
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中文摘要: |
目的 痔血管的超声定位加选择性痔上黏膜切除术治疗痔的临床疗效。方法 将82例诊断为痔的病人采用痔血管的超声定位加选择性痔上黏膜切除术治疗,回顾性评价病人术后疗效。结果 随访3.0~15.0(12.7±1.8)月,无肛门狭窄、脱出复发者;有肛门坠胀感18例,到手术7个月左右肛门坠胀感消失;出血者1例;对疗效非常满意者62例(78.5%);满意者15例(19.0%);不满意者2例(2.5%)。结论 痔血管的超声定位加选择性痔上黏膜切除术对比DG-HAL的临床疗效,具有术后并发症少,安全性高,更微创等优点,疗效确切,但疗效需要进行进一步大型前瞻性随机对照试验。 |
英文摘要: |
Objective To analyze the efficiency of the doppler-guided hemorrhoidal artery with tissue-selecting therapy for the treatment of hemorrhoids.Methods Eighty-two patients were diagnosed as hemorrhoid by using the doppler-guided hemorrhoidal artery with tissue-selecting therapy for the treatment of hemorrhoids and the postoperative curative effect of the patients was evaluated.Results The follow-up period was from 3.0 to 15.0 (12.7±1.8) months.There was no anal stenosis and recurrence.The anal bulge was found in 18 cases,and the anal bulge disappeared in 7 months.There was 1 case of bleeding;62 patients (78.5%) were very satisfied;15 patients (19.0%) were satisfied and 2 patients (2.5%) were dissatisfied.Conclusions Compared with DG-HAL,the doppler-guided hemorrhoidal artery with tissue-selecting therapy for the treatment of hemorrhoids has the advantages of fewer postoperative complications,higher safety and more minimally invasive treatment.However,it needs further multicentre randomized clinical trial to clarify the efficiency. |
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