Department of Surgery 'A', Tel-Aviv Medical Center and the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Colorectal Dis. 2012 Jan;14(1):111-4. doi: 10.1111/j.1463-1318.2010.02541.x.
The outcome of Doppler-guided haemorrhoidal artery ligation (DGHAL) was assessed in patients with Crohn's disease (CD) suffering from grade III haemorrhoids.
A retrospective study was carried out of patients with CD and symptomatic Grade III haemorrhoids treated by DGHAL. Perioperative and follow-up data were retrieved from our database of patients undergoing DGHAL.
The study included seven men and six women. The mean age was 34 years old. All had CD without anorectal involvement. The median duration of haemorrhoidal symptoms was 6.3 years. There was no mortality, new incontinence, faecal impaction, urinary retention, abscess formation or persistent pain following the procedure. Mean pain score based on a visual analogue scale (VAS) decreased from 2.4 at 24 h postoperatively to 1.6 on the seventh postoperative day. All patients had completely recovered by the third postoperative day. At 18 months, three (77%) of the patients were asymptomatic and three had recurrent symptoms.
Doppler-guided haemorrhoidal artery ligation is safe and effective in treating Grade III haemorrhoids in patients with CD without rectal involvement.
评估多普勒引导痔动脉结扎术（DGHAL）在患有克罗恩病（CD）并伴有 III 度痔的患者中的治疗效果。
对接受 DGHAL 治疗的 CD 伴 III 度痔症状患者进行回顾性研究。从我们的 DGHAL 患者数据库中检索围手术期和随访数据。
研究纳入 7 名男性和 6 名女性。平均年龄为 34 岁。所有患者均无肛肠受累的 CD。痔症状的中位持续时间为 6.3 年。该手术无死亡、新出现的失禁、粪便嵌塞、尿潴留、脓肿形成或持续疼痛。基于视觉模拟量表（VAS）的平均疼痛评分从术后 24 小时的 2.4 分降至术后第 7 天的 1.6 分。所有患者在术后第 3 天均完全恢复。术后 18 个月，3 名（77%）患者无症状，3 名患者复发症状。
多普勒引导痔动脉结扎术对于无直肠受累的 CD 患者的 III 度痔是安全有效的治疗方法。
