不同国家痔病诊疗指南和共识解读

Comparison of recent practice guidelines of hemorrhoid disease in different countries

痔病是临床最常见的良性疾病之一,全世界发病率为4%~55%,每年世界各国治疗痔病的花费高昂,部分病人保守治疗无效,需要采用门诊或手术治疗。横向比较分析2016—2021年11个国家的痔病诊疗指南和专家共识发现,在痔病的分度、诊断及治疗方法上总体原则一致,但也存在差异,主要体现在中国、日本等亚洲国家保守治疗方法较丰富,而欧美国家门诊治疗的选择较多,这与各地区实际情况相关。

Hemorrhoid disease(HD)is one of the most common clinical benign diseases,which prevalence rates vary from 4%~55%over the world.Treatment of HD increases the financial burden.For those patients who do not respond to conservative treatment,outpatient clinic procedure or surgical treatment would be necessary.Comparation of the recent practice guidelines(or consensus)of 11 countries shows high consistency in the classification,diagnosis and treatment of hemorrhoid disease.While there are still some differences due to different cultural and insurance factors.In Asian countries like China and Japan,there are more conservative treatment methods.Meanwhile,there are more office treatment methods in western countries.