Clinical treatment observation of Doppler guided hemorrhoid artery ligation combined with ultrasound-knife excision for severe hemorrhoids
10.3760/cma.j.jssn.1673-4904.2016.08.002
- VernacularTitle:超声多普勒引导下痔动脉结扎术联合超声刀切除术治疗重度混合痔的临床疗效观察
- Author:
Xionghua XIANG
;
Haibo JIN
;
Lili LIU
;
Weiming WU
;
Zhangyu CAI
;
Yanping QING
- Publication Type:Journal Article
- Keywords:
Ultrasonography,Doppler;
Hemorrhoids;
Ligation of hemorrhoids;
Procedure for prolapse and hemorrhoids
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(8):677-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical treatment of Doppler guided hemorrhoid artery ligation (DG-HAL) combined with ultrasound-knife excision for severe hemorrhoids. Methods Eighty-seven patients with sever hemorrhoids were divided into 2 groups by the different admission months, the patients in group A (odd-numbered month) were treated by DG-HAL combined with ultrasound-knife excision, and the patients in Group B (bimonthly) were treated by procedure for prolaps and hemorrhoids. The clinical date were compared between 2 groups. Results There were no statistical differences in postoperative pain score and total efficient rate between 2 groups (P>0.05). The operating time, total hospitalization expenses and the incidences of postoperative bleeding, long term postoperative anal discomfort in group A were significantly lower than those in group B: (25.5 ± 2.8) min vs. (36.8 ± 4.6) min, (7 859 ± 564) yuan vs. (10 728 ± 733) yuan, 0 vs. 12.8%(5/39) and 2.1%(1/48) vs. 17.9%(7/39), the patient satisfaction score was significantly higher than that in group B: (9.3 ± 0.7) scores vs. (8.1 ± 0.6) scores, and there were statistical differences (P<0.05). Conclusions DG-HAL combined with ultrasound-knife excision to treat severe hemorrhoids has the definite treatment, less trauma, fewer complications and cheaper hospitalization expenses.
