关键词: 混合痔, 铜离子电化学疗法, 选择性痔上黏膜切除钉合术, 并发症

Abstract: Objective To compare the efficacy and complications of cupric ion electrochemical therapy and selective suprahemorrhoid resection and stapling surgery for the treatment of grade Ⅲ-Ⅳ hemorrhoids.Methods 204 patients with grade Ⅲ-Ⅳ mixed hemorrhoids admitted to our hospital from September 2022 to October 2023 were included as the study subjects.They were divided into two groups using numerical method,with 102 cases in each group.The observation group received copper ion electrochemical therapy,while the control group received selective hemorrhoid mucosal resection and stapling surgery.Compare the surgical outcomes,efficacy,pain scores,anal function scores,quality of life index scores,and incidence of complications between two groups.Results There was no statistically significant difference in gender,age,hemorrhoid grade,surgical time,and hospitalization period between the observation group and the control group(P＞0.05),but the intraoperative blood loss in the observation group was less than that in the control group [(11.37±5.32)ml and (26.72±14.24)ml], and the difference between the two groups was statistically significant (P<0.05).The severity of pain in the observation group was lower than that in the control group on the 1st and 7th day after surgery(P＜0.05);There was no statistically significant difference in the Wexner anal incontinence scores between the two groups at 1 and 8 weeks after surgery(P＞0.05).The observation group had a better gastrointestinal quality of life index(GIQLI) score than the control group at 2 weeks after surgery[(20.92±4.63) and (26.77±5.03) scores,P<0.05],and there was no statistically significant difference between the two groups at 8 weeks[(4.38±0.90) and (4.68±1.41)mm, P>0.05].The total incidence of postoperative complications in both groups was statistically significant(8.8% vs 20.6%,P＜0.05).An average follow-up of six months showed no recurrence.Conclusion Cupric ion electrochemical therapy for mixed hemorrhoids is safe,effective,and has no serious complications,providing a more convenient and minimally invasive treatment method.

Key words: hemorrhoid, electrochemical therapy by Cupric ion, tissue-selecting therapy stapler, complication