Clinical Efficacy of Endoscopic Ligation and Sclerotic Injection Combined with Chinese Herbal Fumigation in Treatment of Internal Hemorrhoids
Objective To explore the efficacy and side effects of endoscopic ligation and sclerotic injection combined with Chinese herbal fumigation in the treatment of internal hemorrhoids.Methods Total 120 patients with internal hemorrhoids treated in our hospital from January to December 2023 were selected.According to the different treatment methods,the patients were divided into ligation group(endoscopic ligation treatment),ligation and fumigation group(endoscopic ligation combined with Chinese herbal fu-migation treatment),sclerosing group(endoscopic sclerotic injection treatment),sclerosing and fumiga-tion group(endoscopic sclerotic injection combined with Chinese herbal fumigation treatment),ligation and sclerosing group(endoscopic ligation combined with sclerotic injection treatment),and ligation,scle-rosing and fumigation group(endoscopic ligation and sclerotic injection combined with Chinese herbal fu-migation).There were 20 cases in each group.The postoperative pain,hematochezia and urinary retention were observed and compared.Results The pain scores on the day of operation,3 and 7 days after opera-tion in the ligation and fumigation group were significantly lower than those in the ligation group(P＜0.05).The pain scores at each time-point of the ligation,sclerosing and fumigation group were significant-ly lower than those of the ligation and sclerosing group(P＜0.05).There was no significant difference in the pain scores between the sclerosing and fumigation group and the sclerosing group(P＞0.05).There were six cases of hematochezia and one case of urine retention in the ligation group.In the ligation and fu-migation group,there were three cases of hematochezia and one case of urine retention.There was no he-matochezia or urine retention in the sclerosing group.In the sclerosing and fumigation group,there was one case of hematochezia and no urinary retention.In the ligation and sclerosing group,one case had he-matochezia and one case had urinary retention.There was one case of hematochezia and one case of urinary retention in the ligation,sclerosing and fumigation group.The bleeding rate of the sclerosing group,scle-rosing and fumigation group,ligation and sclerosing group and ligation,sclerosing and fumigation group was significantly lower than that of the ligation group and ligation and fumigation group(P＜0.05),and there was no statistically significant difference in the incidence of postoperative urinary retention between all groups(P＞0.05).Conclusion The incidence of postoperative pain,hematochezia and urinary re-tention of internal hemorrhoidal sclerotic injection is significantly lower than that of internal hemorrhoidal ligation and ligation combined with sclerotic injection.Combined with Chinese herbal fumigation,it can significantly reduce anal pain after internal hemorrhoidal ligation and ligation combined with sclerotic injec-tion.Endoscopic ligation and sclerotic injection combined with Chinese herbal fumigation in the treatment of internal hemorrhoids is effective,with mild postoperative pain and few complications,which is worthy of clinical application.
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