文档介绍:1 自动痔疮套扎术( RPH ) 治疗轻中度痔疮疗效观察论文联盟。【摘要】目的研究痔疮自动套扎术( RPH ) 治疗轻中度痔疮的疗效。方法将 278 例轻中度( Ⅰ~Ⅲ)痔患者按治疗方式不同分为两组: RPH 组行 RPH 治疗 153 例,对照组行微波治疗 125例。其中 RP H 组中以出血及单点脱垂(脱出痔核≤2个) 症状为主的病人只行 1 次套扎术, 环形脱垂患者(脱出痔核> 2 个)相隔 4 周后行第 2 次套扎术;微波组环形脱垂患者行分期分部位 2 次治疗, 时间相隔 4周, 每次治疗痔核不超过 4 个。结果 RPH 组治愈 146 例( %), 微波组治愈 108 例( %)。术后随访半年, RPH 组术后回缩不全 4 例( %),3 例复发( %) ,微波组 12 例回缩不全( %),5 例复发( %) 。术后调查 RPH 组 150 例对手术效果表示满意( %), 微波组 114 例表示满意( %)。 RPH 组患者术后无肛管疤痕形成、肛门狭窄、出血等并发症。结论 RPH 作为治疗轻中度痔的一种方法,不但具有极佳的疗效,而且操作简单,费用低,不用住院及麻醉, 患者痛苦轻微,几无并发症,可重复操作,值得广泛推广。 2 【关键词】出血痔;脱垂痔;自动痔疮套扎术[Abstract] Objective To study the efficacy of automatic ligation of hemorrhoids (RPH) in the treatment of mild and moderate A total of 278 patients were divided into two groups: 159 patients in RPH group and 125 patients in microwave therapy group. The patients in RPH group with the main symptom of bleeding and single prolapsed hemorrhoid( ≤ 2) only needed RPH one time while circle prolapsed hemorrhoid (> 2) patients needed RPH the second time 4 weeks later. The patients with circle prolapsed hemorrhoid in the microwave therapy group needed the treatment two times. Each time for different part of the The symptoms of all the patients were improved in different degree, which pletely eliminated in 146 patients in RPH group (%) while in 108 patients in microwave therapy group(%). According to an observation half year after operation, the prolapsed hemorrhoids in RPH group of4 cases (%) were pletely retracted and 3 patients relapsed (%) while there were 12 cases of plete retraction(%) and 5 cases of relapse(%) in the microwave therapy group. Questionnaire of patients ’ satisfaction 3 shows that 150 cases (98%) in RPH group were satisfactory while 114 cases in microwave therapy group felt satisfactory (%). There were plications of scare formation in anus, anal stenosis and bleeding in RPH RPH is an excellent method for mild