Panda A P, Laughton J M, Elder J B, Gillespie I E
Digestion. 1975;12(2):85-91. doi: 10.1159/000197658.
Outpatient treatment of haemorrhoids by elastic band ligation without anaesthetic was performed in 75 patients. Clinical review showed that 65 returned to work within 24 h of ligation, 8 in 48 h and 2 after 48 h. No patient required hospitalisation for either rectal bleeding or pain after ligation. In the first week after treatment 36 were completely symptom-free, 26 had minimal discomfort and 13 had moderate pain with a sense of imcomplete evacuation in the rectum, and some frequency of call to stool lasting up to 7 days in 1. Follow-up at 8-26 months (mean 10 months) showed that 59 were symptom free, only occasional rectal bleeding occurred in 7 and more frequent irregular bleeding in 2. Religation of residual haemorrhoids was performed in 7 and 2 and a haemorrhoidectomy. For the majority of patients hospitalisation and loss of work were avoided.
对75例患者进行了无麻醉下橡皮圈套扎门诊治疗痔疮。临床复查显示，65例患者在套扎后24小时内恢复工作，8例在48小时内恢复，2例在48小时后恢复。没有患者因套扎后直肠出血或疼痛而需要住院治疗。治疗后的第一周，36例完全无症状，26例有轻微不适，13例有中度疼痛，伴有直肠排空不全感，1例患者排便次数增多持续达7天。在8至26个月（平均10个月）的随访中，59例无症状，7例仅偶尔出现直肠出血，2例出血较频繁且不规则。对7例和2例残留痔疮进行了再次套扎，并施行了痔切除术。对于大多数患者来说，避免了住院和误工。
