Efficacy of endoscopic sclerotherapy for internal hemorrhoids and its effects on patients' bowel function
10.3760/cma.j.cn341190-20240328-00317
- VernacularTitle:内镜下内痔硬化治疗疗效观察及对患者排便功能的影响
- Author:
Huiyan LI
1
;
Jing DU
1
;
Jing LI
1
;
Chao ZHANG
1
;
Hua WANG
1
;
Yueying LI
1
;
Hongjiao YAO
1
;
Hao XU
1
;
Qi YANG
1
Author Information
1. 西北大学附属医院 西安市第三医院消化内科，西安 710000
- Publication Type:Journal Article
- Keywords:
Hemorrhoids;
Sclerotherapy;
Endoscopy;
Postoperative complications;
Defecation;
Anal canal
- From:
Chinese Journal of Primary Medicine and Pharmacy
2025;32(10):1513-1518
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of endoscopic sclerotherapy for internal hemorrhoids and its effects on patients' bowel function.Methods:A total of 111 patients who received endoscopic sclerotherapy at Xi'an No. 3 Hospital from September 2019 to August 2020 were retrospectively included in this study. Clinical efficacy, postoperative complications, perianal discomfort, and abnormal defecation were compared among patients with grade Ⅰ, Ⅱ, and Ⅲ internal hemorrhoids at 1, 4, 8, 12 weeks, and 6 months after surgery.Results:After 6 months of follow-up, the overall response rate was 77.48% (86/111), and the cure rate was 77.17% (79/111). The response rate and cure rate for rectal bleeding were 83.75% (67/80) and 80.00% (64/80), respectively. The response rate and cure rate for prolapse were 82.46% (47/57) and 75.44% (43/57), respectively. There were no statistically significant differences in the response rates and cure rates for rectal bleeding and prolapse symptoms among patients with grade Ⅰ, Ⅱ, and Ⅲ internal hemorrhoids at each follow-up time point (all P>0.05). Among the 111 patients, 27.93% (31/111) experienced perianal discomfort, and 40.54% (45/111) reported abnormal defecation. The incidences of perianal discomfort and abnormal defecation were not statistically significant among patients with grade Ⅰ, Ⅱ, and Ⅲ internal hemorrhoids (both P>0.05). In patients with gradeⅠ and Ⅱ internal hemorrhoids, perianal discomfort symptoms began to improve 4 weeks after surgery, while symptoms of abnormal defecation started to improve 1 week after surgery. Conclusions:Endoscopic sclerotherapy has a good clinical efficacy for rectal bleeding and prolapse symptoms in patients with grade Ⅰ, Ⅱ, and Ⅲ internal hemorrhoids. Additionally, it improves perianal discomfort and abnormal defecation by identifying the anal canal transition zone in patients with internal hemorrhoids.
