前瞻性随机比较橡皮圈结扎（RBL）与联合痔动脉结扎（CHR）。

Prospective randomised comparison of rubber band ligation (RBL) and combined hemorrhoidal radiocoagulation (CHR).

机构信息

Department of Surgical Sciences, School of Medicine, University of Rome Tor Vergata, Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2012 Feb;16(2):224-9.

Abstract

BACKGROUND

In this prospective randomized study we compared two groups of patients with grade II hemorrhoids treated with standard Rubber Band Ligation (RBL) and Combined Hemorrhoidal Radiocoagulation (CHR), respectively.

METHODS

Out of 90 patients initially randomized, a total of 75 patients regularly returned to visit controls at least for 6 months of follow-up. Consequently, two groups of patients were considered: Group A, represented by 36 individuals treated with RBL, and Group B, consisting of 39 patients treated with CHR. In this study primary endpoints were determined as evaluation of the grade of pain felt immediately after the procedure and at the first evacuation (score from 1 to 10), bleeding, patient's satisfaction after 15 days and after 6 months from the treatment (score from 1 to 10), appearance of failures.

RESULTS

Comparing two techniques, the mean pain score reported immediately after the procedure was 2.08 +/- 1.1 for Group A and 2.13 +/- 1.26 or Group B. At the first evacuation, the mean pain score for Group A and for Group B was 2.69 +/- 1.12 vs. 2.38 +/- 1.18, respectively. The satisfaction score during the first 15 days from the procedure was 6.61 +/- 2.35 for patients treated with RBL and 6.72 +/- 2.28 for patients who received CHR, while the mean score on overall satisfaction after 6 months was 7.11 +/- 2.11 (Group A) vs. 7.31 +/- 2.04 (Group B). At 6 months of follow-up, we observed remission of symptoms in 25 patients in Group A (69.4%) and 31 patients in Group B (79.5%).

CONCLUSIONS

Satisfactory results were reported in both groups of patients after different treatments, which confirm the validity and efficacy of the two techniques used in this study. At least all patients reported positive results in terms of immediate and long-term comfort after both procedures. CHR showed better results than standard RBL, but further studies are required to evaluate the validity of these methods.

摘要

背景

在这项前瞻性随机研究中，我们比较了两组接受标准橡胶圈结扎（RBL）和联合痔放射凝固术（CHR）治疗的 II 度痔患者。

方法

最初随机分组的 90 名患者中，共有 75 名患者定期返回接受至少 6 个月的随访。因此，我们考虑了两组患者：A 组由 36 名接受 RBL 治疗的患者组成，B 组由 39 名接受 CHR 治疗的患者组成。在这项研究中，主要终点确定为评估术后即刻和第一次排便时的疼痛程度（评分 1-10）、出血情况、患者治疗后 15 天和 6 个月的满意度（评分 1-10）以及失败情况。

结果

比较两种技术，A 组术后即刻报告的平均疼痛评分为 2.08 +/- 1.1，B 组为 2.13 +/- 1.26。第一次排便时，A 组和 B 组的平均疼痛评分分别为 2.69 +/- 1.12 和 2.38 +/- 1.18。术后 15 天内的患者满意度，RBL 治疗组为 6.61 +/- 2.35，CHR 治疗组为 6.72 +/- 2.28，6 个月后总体满意度的平均评分分别为 7.11 +/- 2.11（A 组）和 7.31 +/- 2.04（B 组）。在 6 个月的随访中，A 组有 25 例（69.4%）和 B 组有 31 例（79.5%）患者症状缓解。