Efficacy and safety evaluation of three kinds of minimally invasive endoscopic treatment for internal hemorrhoids
10.3969/j.issn.1673-9701.2024.28.002
- VernacularTitle:三种内镜下微创治疗内痔的疗效比较及安全性评价
- Author:
Shimin WU
1
;
Fangfang YU
;
Liya ZHANG
;
Jianqiang CHEN
;
Lijuan XIANG
Author Information
1. 绍兴市上虞人民医院消化内科,浙江绍兴 312300
- Keywords:
Internal hemorrhoids;
Endoscopic sclerotherapy;
Endoscopic ligation;
Ligation combined with sclerotherapy;
Complication;
Curative effect
- From:
China Modern Doctor
2024;62(28):6-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy and safety of three kinds of endoscopic minimally invasive treatment of internal hemorrhoids.Methods The clinical data of 222 patients with internal hemorrhoids who underwent endoscopic treatment in Shangyu People's Hospital of Shaoxing from January 2020 to June 2023 were retrospectively analyzed.According to the treatment method,the patients were divided into simple sclerotherapy group(40 cases),simple ligation group(114 cases)and combined group(68 cases).The perioperative indexes,postoperative adverse events,effective rate and satisfaction of three groups were compared.Results There was significant difference in operation time among three groups(P＜0.05),and the operation time of simple ligation group was the shortest.There was no significant difference in postoperative hospital stay among three groups(P＞0.05).The incidences of anal distention,postoperative pain and dysuria in simple ligation group and combined group were significantly higher than those in simple sclerotherapy group(P＜0.05).The incidence of postoperative bleeding in simple ligation group was significantly higher than that in simple sclerotherapy group and combined group(P＜0.05).There was significant difference in treatment effectiveness among three groups(P＜0.05),and combined treatment had the best effect.The satisfaction of three groups was higher,and the difference was not statistically significant(P＞0.05).Conclusion The three endoscopic minimally invasive treatment methods for internal hemorrhoids are safe and effective.Ligation combined with sclerotherapy can effectively improve symptoms,and the postoperative delayed bleeding are low,which is a safe and efficient treatment method.
