• 哈爾濱醫(yī)科大學附屬第一醫(yī)院普通外科（哈爾濱 150001）;

目的 評估多普勒超聲引導的痔上動脈結(jié)扎治療Ⅱ、Ⅲ度內(nèi)痔的臨床應(yīng)用價值。方法 對2009 年4～9月期間在我科行多普勒超聲引導的痔上動脈結(jié)扎的49 例Ⅱ、Ⅲ度內(nèi)痔患者從術(shù)后肛門括約肌功能、癥狀有效改善情況、疼痛程度及完全恢復正常生活所需時間方面進行評價。結(jié)果 術(shù)后無患者出現(xiàn)肛門括約肌功能失調(diào)；術(shù)后1 周、1 個月及3 個月Ⅱ、Ⅲ度內(nèi)痔分別有77.8%(42/54)、87.0%(47/54)、92.6%(50/54)和59.4%(19/32)、71.9%(23/32)、78.1%(25/32)的患者單項癥狀得到有效改善； 術(shù)后6 h及24 h VAS 法疼痛程度評分平均分分別為1.95分和1.63分； 患者完全恢復正常生活所需時間平均為術(shù)后2.98 d。結(jié)論 多普勒超聲引導的痔上動脈結(jié)扎治療Ⅱ、Ⅲ度內(nèi)痔安全有效，術(shù)后疼痛較輕且可以較快地完全恢復正常生活。

引用本文： 孟慶輝,王子恒,李林強,梁德森. 多普勒超聲引導的痔上動脈結(jié)扎治療Ⅱ、Ⅲ度內(nèi)痔. 中國普外基礎(chǔ)與臨床雜志, 2010, 17(12): 1308-1309. doi: 復制

1. Morinaga K, Hasuda K, Ikeda T. A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter [J]. Am J Gastroenterol， 1995； 90(4): 610-613.
2. 中華醫(yī)學會外科學分會結(jié)直腸肛門外科學組、中華中醫(yī)藥學會肛腸病專業(yè)委員會、中國中西醫(yī)結(jié)合學會結(jié)直腸肛門病專業(yè)委員會. 痔臨床診治指南(2006 版) [J]. 中華胃腸外科雜志, 2006； 9(5): 461-463.
3. 吳在德, 吳肇漢. 外科學 [M]. 第6版， 北京： 人民衛(wèi)生出版社， 2005： 129.
4. Bursics A, Morvay K, Kupcsulik P, et al. Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study [J]. Int J Colorectal Dis, 2004； 19(2): 176-180.
5. Wallis de Vries BM, van der Beek ES, de Wijkerslooth LR, et al. Treatment of Grade 2 and 3 Hemorrhoids with Doppler-Guided Hemorrhoidal Artery Ligation [J]. Dig Surg, 2007； 24(6): 436-440.
6. Scheyer M, Antonietti E, Rollinger G, et al. Doppler-guided hemorrhoidal artery ligation [J]. Am J Surg, 2006； 191(1): 89-93.
7. Greenberg R, Karin E, Avital S, et al. First 100 cases with Doppler-guided hemorrhoidal artery ligation [J]. Dis Colon Rectum, 2006； 49(4): 485-489.
8. Felice G, Privitera A, Ellul E, et al. Doppler-guided hemorrhoidal artery ligation: an alternative to hemorrhoidectomy [J]. Dis Colon Rectum, 2005； 48(11): 2090-2093.
9. Walega P, Scheyer M, Kenig J, et al. Two-center experience in the treatment of hemorrhoidal disease using Doppler-guided hemorrhoidal artery ligation: functional results after 1-year follow-up [J]. Surg Endosc, 2008； 22(11): 2379-2383.
10. Shanmugam V, Thaha MA, Rabindranath KS, et al. Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy [J]. Br J Surg, 2005； 92(12): 1481-1487.
11. Komborozos VA, Skrekas GJ, Pissiotis CA. Rubber band ligation of symptomatic internal hemorrhoids: results of 500 cases [J]. Dig Surg, 2000； 17(1): 71-76.
12. Ortiz H, Marzo J, Armendariz P. Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy [J]. Br J Surg, 2002; 89(11): 1376-1381.
13. Longo A. Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure [A]. In: Proceedings of the 6th World Congress of Endoscopic Surgery [M]. Bologna, Italy: Monduzzi Editore, 1998: 777-784.
14. Molloy RG, Kingsmore D. Life threatening pelvic sepsis after stapled haemorrhoidectomy [J]. Lancet, 2000； 355(9206): 810.
  1. 1. Morinaga K, Hasuda K, Ikeda T. A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter [J]. Am J Gastroenterol， 1995； 90(4): 610-613.
  2. 2. 中華醫(yī)學會外科學分會結(jié)直腸肛門外科學組、中華中醫(yī)藥學會肛腸病專業(yè)委員會、中國中西醫(yī)結(jié)合學會結(jié)直腸肛門病專業(yè)委員會. 痔臨床診治指南(2006 版) [J]. 中華胃腸外科雜志, 2006； 9(5): 461-463.
  3. 3. 吳在德, 吳肇漢. 外科學 [M]. 第6版， 北京： 人民衛(wèi)生出版社， 2005： 129.
  4. 4. Bursics A, Morvay K, Kupcsulik P, et al. Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study [J]. Int J Colorectal Dis, 2004； 19(2): 176-180.
  5. 5. Wallis de Vries BM, van der Beek ES, de Wijkerslooth LR, et al. Treatment of Grade 2 and 3 Hemorrhoids with Doppler-Guided Hemorrhoidal Artery Ligation [J]. Dig Surg, 2007； 24(6): 436-440.
  6. 6. Scheyer M, Antonietti E, Rollinger G, et al. Doppler-guided hemorrhoidal artery ligation [J]. Am J Surg, 2006； 191(1): 89-93.
  7. 7. Greenberg R, Karin E, Avital S, et al. First 100 cases with Doppler-guided hemorrhoidal artery ligation [J]. Dis Colon Rectum, 2006； 49(4): 485-489.
  8. 8. Felice G, Privitera A, Ellul E, et al. Doppler-guided hemorrhoidal artery ligation: an alternative to hemorrhoidectomy [J]. Dis Colon Rectum, 2005； 48(11): 2090-2093.
  9. 9. Walega P, Scheyer M, Kenig J, et al. Two-center experience in the treatment of hemorrhoidal disease using Doppler-guided hemorrhoidal artery ligation: functional results after 1-year follow-up [J]. Surg Endosc, 2008； 22(11): 2379-2383.
  10. 10. Shanmugam V, Thaha MA, Rabindranath KS, et al. Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy [J]. Br J Surg, 2005； 92(12): 1481-1487.
  11. 11. Komborozos VA, Skrekas GJ, Pissiotis CA. Rubber band ligation of symptomatic internal hemorrhoids: results of 500 cases [J]. Dig Surg, 2000； 17(1): 71-76.
  12. 12. Ortiz H, Marzo J, Armendariz P. Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy [J]. Br J Surg, 2002; 89(11): 1376-1381.
  13. 13. Longo A. Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure [A]. In: Proceedings of the 6th World Congress of Endoscopic Surgery [M]. Bologna, Italy: Monduzzi Editore, 1998: 777-784.
  14. 14. Molloy RG, Kingsmore D. Life threatening pelvic sepsis after stapled haemorrhoidectomy [J]. Lancet, 2000； 355(9206): 810.