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目的探讨半导体激光痔凝固术对Ⅲ度内痔的治疗效果。方法将2004年3月至12月收治的86例Ⅲ度内痔患者分为激光组与痔切除组,进行疗效对比观察。结果激光组术后第1天及第7天疼痛评分均明显低于痔切除组。排便时两组均有少量出血,其中激光组12例,切除组35例,均无需止血治疗。6个月后门诊随访,两组患者痔核脱出均得以纠正,无复发,无肛门失禁,满意度评分激光组患者平均2.8分,痔切除组平均2.6分。结论半导体激光痔凝固术治疗Ⅲ度内痔方法简单、疼痛轻微、安全有效。
Objective To investigate the therapeutic effect of semiconductor laser hemorrhoids coagulation on Ⅲ degree hemorrhoids. Methods 86 patients with Ⅲ degree hemorrhoids who were treated from March to December 2004 were divided into laser group and hemorrhoidectomy group, and the curative effect was observed. Results The pain scores of the first day and the seventh day after laser in the laser group were significantly lower than those in the hemorrhoidectomy group. There was a small amount of bleeding in both groups during defecation, including 12 in the laser group and 35 in the resection group, all without hemostasis. After 6 months of follow-up, hemorrhoids prolapse in both groups were corrected. There was no recurrence and anal incontinence in the two groups. The satisfaction score was 2.8 in the laser group and 2.6 in the hemorrhoidectomy group. Conclusion Semiconductor laser hemorrhoids coagulation for the treatment of Ⅲ degree hemorrhoids method is simple, mild pain, safe and effective.