内痔内镜下套扎治疗临床分析

Clinical analysis of endoscopic ligation for the treatment of internal hemorrhoid

目的评估内镜下套扎术治疗内痔的有效性和安全性。方法收集2021年8月至2023年12月在中国人民解放军总医院第七医学中心行内镜下套扎术治疗的138例内痔患者的临床资料,对其一般资料、临床特点及治疗效果进行分析。结果138例内痔患者中,Ⅰ度12例(8.7%)、Ⅱ度74例(53.6%)、Ⅲ度52例(37.7%)。内痔内镜下套扎治疗手术成功率为100%,治疗有效率为95.7%,其中治愈92例(66.7%),好转40例(29.0%)。术后并发症最常见为疼痛45例(32.6%),其次为肛门坠胀19例(13.8%)和排尿困难5例(3.6%)。术后疼痛患者大多数可自行缓解,其中重度疼痛者7例(5.1%)用药后缓解。结论内镜下套扎术治疗内痔是一种安全可靠及便捷有效的治疗方法。

Objective To evaluate the effectiveness and safety of endoscopic ligation for the treatment of internal hemorrhoids.Methods The clinical data of 138 patients with internal hemorrhoids who underwent endoscopic ligation surgery at the Seventh Medical Center of Chinese PLA General Hospital from Aug.2021 to Dec.2023 were collected.Their general information,clinical characteristics and treatment effects were analyzed.Results Among the 138 patients with internal hemorrhoids,there were 12 cases(8.7%)of gradeⅠ,74 cases(53.6%)of gradeⅡ,and 52 cases(37.7%)of gradeⅢ.The success rate of endoscopic ligation treatment for internal hemorrhoids was 100%,with a treatment effectiveness rate of 95.7%.Among them,92 cases(66.7%)were cured and 40 cases(29.0%)improved.The most common postoperative complication was postoperative pain,with 45 cases accounting for 32.6%,followed by 19 cases(13.8%)of anal prolapse and 5 cases(3.6%)of difficulty urinating.Most postoperative pain patients can relieve themselves,with 7 cases(5.1%)of severe pain relieved after medication.Conclusion Endoscopic ligation is a safe,reliable and effective treatment method for internal hemorrhoids.