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1至3度内痔的橡皮筋结扎术与香蕉夹疗法的对比研究

A comparative study of rubber band ligation versus BANANA-Clip in grade 1 to 3 internal hemorrhoids.

作者信息

Kang Dong Wan, Kim Byoung Soo, Kim Ji Hun, Kim Kyong Rae, Kang Gyong Suk

机构信息

Department of Colorectal Surgery, Wellness Hospital, Busan, Korea.

出版信息

Ann Coloproctol. 2023 Feb;39(1):41-49. doi: 10.3393/ac.2021.00717.0102. Epub 2021 Dec 9.

DOI:10.3393/ac.2021.00717.0102
PMID:34879637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10009063/
Abstract

PURPOSE

Rubber band ligation (RBL) for grade 1 to 3 internal hemorrhoids is a well-established modality of choice. But RBL is also a kind of surgical treatment; it is not free from complications (e.g., delayed bleeding [DB], rectal stenosis). This study aimed to investigate the results of the comparative treatment of RBL and BANANA-Clip (BC; Endovision).

METHODS

Study participants were 632 consecutive patients with grade 1 to 3 internal hemorrhoids attended to Department of Colorectal Surgery at Wellness Hospital between January 2010 and May 2019. We retrospectively reviewed the incidence rate of complications, including DB between RBL and BC.

RESULTS

There were 304 male and 328 female patients, whose ages ranged from 15 to 84 years, with a mean age of 45.7 years. The common symptom and cause of treatment was prolapse (70.1%). The number of ligated sites was 1.49±0.57 in the RBL group and 1.99±0.77 in the BC group. RBL showed a significantly higher incidence of DB (3.5%) compared to BC (0%) (P=0.001). The 1-year success rate was 95.9% in the RBL group and 99.7% in the BC group (P=0.005).

CONCLUSION

In our study, BC was more reliable in treating grade 1 to 3 internal hemorrhoids with higher success rates and less post-ligation complications, especially DB, compared to RBL.

摘要

目的

橡皮圈套扎术（RBL）用于治疗1至3度内痔是一种公认的首选治疗方式。但RBL也是一种外科治疗方法，并非没有并发症（如迟发性出血[DB]、直肠狭窄）。本研究旨在调查RBL与香蕉夹（BC；Endovision）对比治疗的结果。

方法

研究参与者为2010年1月至2019年5月期间在健康医院结直肠外科就诊的632例连续的1至3度内痔患者。我们回顾性分析了RBL组和BC组并发症的发生率，包括DB。

结果

共有304例男性和328例女性患者，年龄在15至84岁之间，平均年龄为45.7岁。常见的症状和治疗原因是脱垂（70.1%）。RBL组的结扎部位数量为1.49±0.57，BC组为1.99±0.77。与BC组（0%）相比，RBL组的DB发生率显著更高（3.5%）（P=0.001）。RBL组的1年成功率为95.9%，BC组为99.7%（P=0.005）。

结论

在我们的研究中，与RBL相比，BC在治疗1至3度内痔方面更可靠，成功率更高，结扎后并发症更少，尤其是DB。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/cf609b73123e/ac-2021-00717-0102f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/73d5de851efd/ac-2021-00717-0102f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/30a6fe6ade84/ac-2021-00717-0102f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/c624c9a283a3/ac-2021-00717-0102f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/cf609b73123e/ac-2021-00717-0102f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/73d5de851efd/ac-2021-00717-0102f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/30a6fe6ade84/ac-2021-00717-0102f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/c624c9a283a3/ac-2021-00717-0102f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc79/10009063/cf609b73123e/ac-2021-00717-0102f4.jpg

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