二极管激光凝固治疗对Ⅲ度内痔的疗效
[Effect of diode laser coagulation treatment on grade III internal hemorrhoids].
作者信息
Wang Dong, Zhong Ke-li, Chen Jian-lin, Wang Xiao-xue, Pan Kai, Xia Li-gang, Chen Xiao-chun, Yang Xiao-dong
机构信息
Department of Gastroenterology, The Second Affiliated Hospital, Medical School of Jinan University, Shenzhen 518020, China.
出版信息
Zhonghua Wei Chang Wai Ke Za Zhi. 2005 Jul;8(4):325-7.
OBJECTIVE
To evaluate the curative effects of diode laser coagulation on grade III internal hemorrhoids.
METHODS
From March 2004 to December 2004, 86 patients with grade III internal hemorrhoids were divided into two groups, received laser coagulation (laser group, n=46) or received hemorrhoidectomy (control group, n=40). Complications, symptom relief, pain scores and satisfaction scores were compared between the two groups six months after operation.
RESULTS
Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation. Small amount of bleeding occurred in the laser group (12 cases) and control group (35 cases), however, non of them required special hemostasis. Laser coagulation and closed hemorrhoidectomy were equally effective in controlling symptomatic prolapse. There was no difference in terms of continence scores and patients satisfaction between the two groups (P> 0.05).
CONCLUSIONS
Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.
目的
评估二极管激光凝固术治疗Ⅲ度内痔的疗效。
方法
2004年3月至2004年12月，将86例Ⅲ度内痔患者分为两组，分别接受激光凝固术（激光组，n = 46）或痔切除术（对照组，n = 40）。比较两组术后6个月的并发症、症状缓解情况、疼痛评分及满意度评分。
结果
术后第1天和第7天，激光组的疼痛评分低于对照组。激光组（12例）和对照组（35例）均有少量出血，但均无需特殊止血。激光凝固术和闭合式痔切除术在控制症状性脱垂方面同样有效。两组在控便评分和患者满意度方面无差异（P > 0.05）。
结论
二极管激光凝固术可被视为治疗Ⅲ度痔的一种安全有效的方法。
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