Maloku Halit, Gashi Zaim, Lazovic Ranko, Islami Hilmi, Juniku-Shkololli Argjira
"Aloka" Surgical Center, Prishtina, Kosova.
Department of Clinical Gastrohepatology, Faculty of Medicene, University of Prishtina, Kosova.
Acta Inform Med. 2014 Dec;22(6):365-7. doi: 10.5455/aim.2014.22.365-367. Epub 2014 Dec 19.
According to the ''vascular'' theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation.
Our aim was to compare the hemorrhoid laser procedure with open surgical procedure for outpatient treatment of symptomatic hemorrhoids.
A comparison trial between hemorrhoid laser procedure or open surgical hemorrhoidectomy was made. This study was conducted at Aloka hospital in Kosovo. Patients with symptomatic grade III or grade IV hemorrhoids with minimal or complete mucosal prolapse were eligible for the study: 20 patients treated with the laser hemorrhoidoplasty, and 20 patients-with open surgery hemorrhoidectomy. Operative time and postoperative pain with visual analog scale, were evaluated.
A total number of 40 patients (23 men and 17 women, mean age, 46 years) entered the trial. Significant differences between laser hemorrhoidoplasty and open surgical procedure were observed in operative time and early postoperative pain. There was a statistically significant difference between the two groups regarding the early postoperative period: 1 week, 2 weeks, 3 weeks and 1 month after respective procedure (p<0.01). The procedure time for LHP was 15.94 min vs. 26.76 min for open surgery (p<0.01).
The laser hemorrhoidoplasty procedure was more effective than open surgical hemorrhoidectomy. Postoperative pain and duration time are only two indicators for this difference between there procedures.
根据“血管”理论，内痔动脉血流增多会导致痔静脉丛扩张。痔激光手术（LHP）是一种用于门诊治疗痔疮的新型激光手术，通过激光凝固来阻断供应痔丛的痔动脉血流。
我们的目的是比较痔激光手术与开放性手术治疗有症状痔疮的门诊治疗效果。
对痔激光手术或开放性痔切除术进行了一项对比试验。本研究在科索沃的阿洛卡医院进行。有症状的Ⅲ级或Ⅳ级痔疮且伴有最小程度或完全黏膜脱垂的患者符合研究条件：20例患者接受激光痔成形术治疗，20例患者接受开放性痔切除术治疗。评估了手术时间和采用视觉模拟评分法的术后疼痛情况。
共有40例患者（23例男性和17例女性，平均年龄46岁）进入试验。在手术时间和术后早期疼痛方面，激光痔成形术与开放性手术之间观察到显著差异。两组在各自手术后的早期阶段（1周、2周、3周和1个月）存在统计学显著差异（p<0.01）。LHP的手术时间为15.94分钟，而开放性手术为26.76分钟（p<0.01）。
激光痔成形术比开放性痔切除术更有效。术后疼痛和持续时间只是这两种手术之间存在差异的两个指标。
