Clinical efficacy of laser hemorrhoidoplasty combined with surrounded suture andsuspension in the treatment of patients with Ⅱ to Ⅳ stage of internal hemorrhoids
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摘要:目的 观察激光痔疮消融术(LHP)联合围扎悬吊法治疗Ⅱ~Ⅳ期内痔的临床疗效。方法 选取64例Ⅱ~Ⅳ期内痔患者，随机分为治疗组与对照组，每组32例。治疗组采用LHP联合围扎悬吊法治疗，对照组采用传统内痔结扎术治疗。结果 2组总体疗效无显著差异，但治疗组患者愈合时间、疼痛、术后并发症等均显著优于对照组(P < 0.05)。结论 采用LHP联合围扎悬吊法治疗Ⅱ~Ⅳ期内痔疗效确切，可缩短疗程，减轻患者痛苦，降低并发症发生率。Abstract:Objective To observe the clinical efficacy of laser hemorrhoidoplasty (LHP) combined with surrounded suture and suspension in the treatment of patients with Ⅱ to Ⅳ stage of internal hemorrhoids.Methods Totally 64 patients with Ⅱ to Ⅳ stage of internal hemorrhoids were selected and randomly divided into treatment group and control group, with 32 cases in each group. The treatment group was treated with LHP combined with surrounded suture and suspension, while the control group was treated with traditional ligation for internal hemorrhoids.Results There was no significant difference in the overall efficacy between the two groups, but the healing time, pain and postoperative complications in the treatment group were significantly better than those in the control group (P < 0.05).Conclusion For patients with II to IV stage of internal hemorrhoids, the LHP combined with surrounded ligation and suspension has a significant efficiency, which can shorten the course of treatment, alleviate the painof patients and reduce the incidence rate of complications.
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表 1 2组患者一般资料比较(x±s)
组别 性别 年龄/岁 痔分期 男 女 Ⅱ期 Ⅲ期 Ⅳ期 治疗组(n=32) 11 21 41.93±11.13 20 7 5 对照组(n=32) 16 16 40.87±11.71 21 9 2 
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表 2 2组术后VAS评分比较(x±s)>
分 组别 术后12 h 术后24 h 术后48 h 治疗组(n=32) 2.12±1.03* 1.40±0.71* 0.68±0.69* 对照组(n=32) 5.06±1.52 4.75±1.10 2.90±1.14 与对照组比较, *P < 0.05。
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表 3 2组手术并发症比较[n(%)]
组别 出血 水肿 尿潴留 便秘 治疗组(n=32) 0* 1(3.13)* 0* 1(3.13)* 对照组(n=32) 4(12.50) 9(28.13) 5(15.63) 6(18.75) 与对照组比较, *P < 0.05。
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