Objective To compare the clinical efficacy of endoscopic ligation and injection of polidocanol sclerotherapy for stage Ⅰ,Ⅲ internal hemorrhoids.Methods 64 patients with stage Ⅱ and Ⅲ internal hemorrhoids admitted to our hospital from April 2021 to March 2022 were selected and randomly divided into a sclerotherapy group and a ligation group,with 32 patients in each group.The effective rate,length of hospital stay,medical expenses,surgical duration,incidence of postoperative complications,and one-year recurrence rate were compared between the two groups of patients.Results After treatment,22 cases in the sclerosis group were cured,7 cases improved,and 3 cases were ineffective,with an effective rate of 90.63％.In the ligation group,23 cases were cured,8 cases improved,and 1 case was ineffective,with an effective rate of 96.88％.There was no statistically significant difference in the treatment effective rate between the two groups of patients.The length of hospital stay and medical expenses of patients in the sclerosis group were both lower than those in the ligation group,and the difference was statistically significant(P＜0.05).There was no statistically significant difference in the duration of surgery between the two groups of patients(P＜0.05).Postoperative complications in the sclerosis group included 1 case of anal pain,1 case of rectal bleeding,and 1 case of fever,with an incidence rate of 9.38％.There were 2 cases of postoperative anal pain and 2 cases of rectal bleeding in the ligation group,with an incidence rate of 12.5％.There was no statistically significant difference in the incidence of postoperative complications between the two groups(P＞0.05).The one-year recurrence rates of the two groups after surgery were 21.88％and 18.75％,respectively,with no statistically significant difference.Conclusion Both treatment methods can effectively treat stage Ⅱ and Ⅲ internal hemorrhoids,with endoscopic injection of polidocanol having more advantages in terms of length of hospital stay and medical expenses.
Internal hemorrhoidsInjection of sclerosing agentsEndoscopic ligationCurative effect
万方数据
维普
