消痔灵直肠周围间隙八点注射法治疗完全性直肠脱垂的疗效观察

发布时间：2018-01-22 00:54

本文关键词： 注射疗法消痔灵直肠脱垂　出处：《中华中医药杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的:完全性直肠脱垂为肛肠科较为常见的疑难病症,此前消痔灵双层四步注射法近期疗效尚可,但远期疗效欠佳。文章通过总结李华山教授多年临床实践和经验,提出了消痔灵直肠周围间隙八点注射法。方法:以63例成人完全性直肠脱垂患者为研究对象,采取直肠周围8点注射法治疗,并提高注射剂量,仍以直肠是否脱垂为疗效性指标,治疗前后动态观察患者血常规及生化等安全性指标。结果:63例患者中治愈51例(80.95%),好转10例(15.87%),未愈2例(3.17%),总有效率为96.82%,注射治疗后白细胞计数、C反应蛋白水平明显升高,未见明显不良反应,安全性较高。结论:该疗法优化改善了消痔灵的注射方法,较之以往注射疗法在注射部位、注射量、注射方法上大大改进,强化了注射药物的最大安全剂量及浓度,开创了完全性直肠脱垂的注射治疗新的思路和方向。
[Abstract]:Objective: to complete rectal prolapse is a common anorectal disease, after Xiaozhiling double-layer four step injection efficacy is acceptable, but the long-term effect is poor. This paper summarizes professor Li Huashan's years of clinical practice and experience, put forward the eight point gap around the rectum Xiaozhiling injection. Methods: 63 patients with complete rectal prolapse in adult patients as the research object, take 8 perirectal injection treatment, and improve the injection dose to rectum prolapse is still whether the efficacy index before and after treatment were observed, blood routine and biochemical safety index. Results: 51 cases were cured in 63 cases (80.95%), 10 cases improved, 2 cases (15.87%) not (3.17%), the total efficiency of 96.82%, white blood cell count after the injection treatment, C reactive protein level increased significantly, no obvious adverse reaction, high safety. Conclusion: the improvement of the injection Xiaozhiling the therapy optimization Compared with previous injection therapy, the method greatly improved the injection volume, injection volume and injection method, and intensified the maximum safety dose and concentration of the injection drug, creating a new idea and direction for the injection treatment of complete rectal prolapse.

【作者单位】：中国中医科学院广安门医院南区肛肠科;中国中医科学院广安门医院肛肠科;
【基金】：国家自然科学基金项目(No.81173275,No.81673988)~~
【分类号】：R266
【正文快照】： 完全性直肠脱垂为肛肠科较为难治性疾病之一,其发病原因不明。目前对该病的治疗以手术为主,缺点是损伤大、并发症多,远期疗效较差,复发率高。近年来笔者采取直肠周围注射法治疗完全性直肠脱垂63例,取得了阶段性成果,现报告如下。资料1.一般资料研究对象为2011年1月至2015年12

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