激光痔切除术治疗痔病的疗效

Effectiveness of laser hemorrhoidoplasty in the treatment of hemorrhoidal disease.

作者信息

Dursun Ayberk, Tuncer Gizem Kilinc, Tuncer Korhan, Karaali Cem, Erdoğan Gürsoy, Emiroglu Mustafa

机构信息

Department of General Surgery, Erciş Şehit Rıdvan Çevik State Hospital, Van.

Department of General Surgery, University of Health Sciences Izmir Bozyaka Training and Research Hospital, Izmir.

出版信息

Cir Cir. 2023;91(2):179-185. doi: 10.24875/CIRU.22000287.

DOI:10.24875/CIRU.22000287

PMID:37084307

Abstract

INTRODUCTION

Minimally invasive techniques still continue to maintain their popularity in hemorrhoidal disease. In this study, we aimed to present the symptomatic recovery and recurrence rates, post-operative pain levels, and complication rates of patients treated with the laser hemorrhoidoplasty (LHP) method in our clinic.

METHODS

The data of patients who underwent LHP due to Grades 2, 3, and 4 internal hemorrhoidal disease in our clinic were reviewed retrospectively. The patients enrolled in the study were followed for at least 6 months (6 months, 1 year, and 2 years) and their results were analyzed.

RESULTS

A total of 103 patients were included in the study. Seventy-five (72.8%) of them were male and the mean age was 41.6 ± 13.6 years. The mean operation time was 17.9 ± 5.2 min and minor complications developed in 3 (2.9%) patients postoperatively. Mean time to return to normal daily life was 2.17 (1-11) days. Recurrence developed in 16 (17.6%) patients with Grades 2 and 3 disease and in 6 (50%) of 12 patients with Grade 4 disease (p = 0.019).

CONCLUSION

LHP is a popular procedure which is effective in selected patient groups with acceptable recurrence rates.

摘要

引言

微创技术在痔病治疗中仍持续受到欢迎。在本研究中，我们旨在呈现我院采用激光痔切除术（LHP）治疗的患者的症状恢复情况、复发率、术后疼痛程度及并发症发生率。

方法

回顾性分析我院因2、3、4级内痔疾病接受LHP治疗的患者数据。纳入研究的患者至少随访6个月（6个月、1年和2年）并分析其结果。

结果

本研究共纳入103例患者。其中75例（72.8%）为男性，平均年龄为41.6±13.6岁。平均手术时间为17.9±5.2分钟，3例（2.9%）患者术后出现轻微并发症。恢复正常日常生活的平均时间为2.17（1 - 11）天。2级和3级疾病患者中有16例（17.6%）复发，4级疾病的12例患者中有6例（50%）复发（p = 0.019）。