超声引导下痔动脉结扎术的最佳结扎点位分析

基础医学与临床 ›› 2013, Vol. 33 ›› Issue (10): 1319-1321.

超声引导下痔动脉结扎术的最佳结扎点位分析

王竟¹,苏航²,王丽²,王岩²

1. 中国医科大学附属第一医院肛肠外科
2. 中国医科大学附属第一医院

收稿日期:2013-07-16 修回日期:2013-07-18 出版日期:2013-10-05 发布日期:2013-09-25
通讯作者: 王竟 E-mail:wangjinggcwk@163.com

The best point of Doppler guided hemorrhoidal artery ligation(DG-HAL)

Received:2013-07-16 Revised:2013-07-18 Online:2013-10-05 Published:2013-09-25
Contact: Jing WANG E-mail:wangjinggcwk@163.com

摘要/Abstract

摘要： 目的在治疗Ⅱ度出血性内痔手术中，研究多普勒超声引导下结扎痔动脉（DG-HAL）的最佳位置。方法回顾分析使用DG-HAL治疗Ⅱ度出血性内痔的56例患者，根据术中结扎位置不同，分为低位、中位、高位3组，对3组的临床疗效及术后并发症做统计分析。结果中位结扎组止血效果及水肿和疼痛发生的评分值均显著优于低位和高位结扎组（P＜0.05）。结论多普勒超声引导下痔动脉结扎术对于Ⅱ度出血性内痔的最佳结扎部位是在齿线上2.0±0.5cm范围内。

关键词: 出血性内痔, 多普勒超声, 痔动脉, 痔动脉结扎

Abstract: Objective There are many treatments of II degree bleeding internal hemorrhoids ,one of them is Doppler guided hemorrhoidal artery ligation(DGHAL).We tried to find the best point of the ligation. Methods We chose 56 patients suffered with II degree Bleeding Internal Hemorrhoids and treated by Doppler guided hemorrhoidal artery ligation(DGHAL).Up to the ligation point ,3groups were made and . A 3-months follow-up was given and the efficacy was recorded. Results The middle ligation group had the least complication and the best efficacy significantly. Conclusion Doppler guided hemorrhoidal artery ligation(DGHAL)’s best point is about 2.0±0.5cm above the Dentate line

Key words: Bleeding Internal Hemorrhoids , Doppler , DGHAL , hemorrhoidal artery

中图分类号:

R657.1

王竟苏航王丽王岩. 超声引导下痔动脉结扎术的最佳结扎点位分析[J]. 基础医学与临床, 2013, 33(10): 1319-1321.