Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2027-2030
YIN Kaihong, CHENG Yinmeng, ZHANG Tao, KE Xiquan, XU Feng, ZHAO Changdong. Clinical study of endoscopic rubber ring ligation combined with foam sclerosing agent injection in the treatment of internal hemorrhoids of grade Ⅱ to Ⅲ mixed hemorrhoids[J]. Chinese Journal of General Practice, 2023, 21(12): 2027-2030. doi: 10.16766/j.cnki.issn.1674-4152.003282
Citation: YIN Kaihong, CHENG Yinmeng, ZHANG Tao, KE Xiquan, XU Feng, ZHAO Changdong. Clinical study of endoscopic rubber ring ligation combined with foam sclerosing agent injection in the treatment of internal hemorrhoids of grade Ⅱ to Ⅲ mixed hemorrhoids[J]. Chinese Journal of General Practice, 2023, 21(12): 2027-2030. doi: 10.16766/j.cnki.issn.1674-4152.003282
shu

Clinical study of endoscopic rubber ring ligation combined with foam sclerosing agent injection in the treatment of internal hemorrhoids of grade Ⅱ to Ⅲ mixed hemorrhoids

doi: 10.16766/j.cnki.issn.1674-4152.003282
  • 1.

    Bengbu Medical College Lianyungang clinical college, Lianyungang, Jiangsu 222000, China

Funds:

 gxgwfx2018052

 JLY20180156

 202223

  • Received Date: 2023-07-04
    Available Online: 2024-01-29
    Abstract
  •   Objective  Exploring the clinical efficacy and safety analysis of endoscopic rubber band ligation (ERBL) combined with foam sclerotherapy (FS) in the treatment of mixed hemorrhoids of grade Ⅱ to Ⅲ.  Methods  A total of 62 patients who underwent mixed hemorrhoid treatment at the Department of Gastroenterology and Gastrointestinal Surgery of Lianyungang Second People's Hospital from September 2020 to May 2022 were retrospectively included. According to different surgical methods, 30 patients who received ERBL combined with FS were included in the treatment group. Thirty-two patients who only underwent traditional surgical external stripping and internal ligation were included in the control group. The operation time, hospitalization time, hospitalization expenses, postoperative complications and clinical efficacy were compared between the two groups of patients. Follow-up for 6 months was conducted to evaluate the clinical effect and safety.  Results  Both groups of patients successfully completed the surgery. The operation time, hospitalization time, and hospitalization expenses in the treatment group were all less than those in the control group, and the differences were statistically significant (all P < 0.05). Six months after surgery, postoperative urinary retention, perianal redness and swelling, anal swelling, and defecation difficulty in the treatment group were all lower than those in the control group (all P < 0.05). The VAS score 24 hours after surgery in the treatment group was lower than that in the control group (U=252.000, P < 0.001). The bleeding situation in the treatment group 1 week after surgery was lower than that in the control group (U=192.500, P < 0.001). Six months after surgery, 25 cases were cured in the treatment group, 4 cases were effective, and 1 case was ineffective or relapsed. In the control group, 19 cases were cured, 7 cases were effective, and 6 cases were ineffective or relapsed. The difference in efficacy between the two groups was statistically significant (U=355.500, P=0.028).  Conclusion  The combination of ERBL and FS is safe and effective in the treatment of internal hemorrhoids in grade Ⅱ to Ⅲ mixed hemorrhoids, with fewer complications and a high cure rate, and is worthy of clinical promotion.

     

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