Jensen S L, Harling H, Tange G, Shokouh-Amiri M H, Nielsen O V
Department of Surgical Gastroenterology C, Rigshospitalet, University of Copenhagen, Denmark.
Acta Chir Scand. 1988 May-Jun;154(5-6):395-8.
Proctoscopically diagnosed third-degree haemorrhoids were treated with rubber band ligation (RBL) in 92 patients, who were randomly assigned to management with or without twice-daily intake of unprocessed bran for 18 months. RBL was performed maximally five times at 2-week intervals. Patients who were symptom-free 10 weeks after first banding were considered cured and were enrolled in a follow-up study. The two treatment groups did not differ in regard to clinical or proctoscopic characteristics. The number of RBL required for cure was lower in the bran-treated group (p less than 0.01). The intergroup difference in cure rate 10 weeks after the first treatment was not significant (85% v. 91%). During the follow-up period symptoms recurred in 45% of the RBL group, but in only 15% of the RBL + bran group (p less than 0.01). A high-fiber diet thus increased the long-term cure rate among patients with third-degree haemorrhoids initially cured by RBL.
经直肠镜诊断为三度痔疮的92例患者接受了橡皮圈套扎术（RBL）治疗，这些患者被随机分为两组，一组每天两次摄入未加工麸皮，另一组不摄入，持续18个月。RBL每隔2周最多进行5次。首次套扎后10周无症状的患者被视为治愈，并纳入随访研究。两组在临床或直肠镜检查特征方面无差异。麸皮治疗组治愈所需的RBL次数较少（p<0.01）。首次治疗后10周的治愈率组间差异不显著（85%对91%）。在随访期间，RBL组45%的患者症状复发，但RBL+麸皮组仅15%（p<0.01）。因此，高纤维饮食提高了最初通过RBL治愈的三度痔疮患者的长期治愈率。
