LIU Qixue, LU Jinghua, WU Chunyan, SU Yuguang. Comparison of efficacy of vascular embolizationand endoscopy combined with lauromacrogolin treatment of hemorrhoid hemorrhage[J]. Journal of Clinical Medicine in Practice, 2022, 26(2): 104-107. DOI: 10.7619/jcmp.20212857
Citation: LIU Qixue, LU Jinghua, WU Chunyan, SU Yuguang. Comparison of efficacy of vascular embolizationand endoscopy combined with lauromacrogolin treatment of hemorrhoid hemorrhage[J]. Journal of Clinical Medicine in Practice, 2022, 26(2): 104-107. DOI: 10.7619/jcmp.20212857

Comparison of efficacy of vascular embolizationand endoscopy combined with lauromacrogolin treatment of hemorrhoid hemorrhage

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  • Received Date: July 14, 2021
  • Available Online: April 13, 2021
  • Published Date: January 27, 2022
  •   Objective  To compare the efficacy of vascular embolization and soft endoscopy combined with lauromacrol in treatment of hemorrhoid hemorrhage.
      Methods  A total of 103 patients with hemorrhoid hemorrhage at stage Ⅰ to Ⅱ were selected and divided into sclerotherapy group (n=55) and interventional therapy group (n=48) according to different treatment methods. The sclerotherapy group was treated with soft endoscope combined with lauromacrol injection sclerotherapy, and the interventional therapy group was treated with vascular embolization interventional therapy. The indexes related to operation and postoperative recovery in two groups were analyzed; the therapeutic effect of the two groups was evaluated.
      Results  The operation time, wound healing time and hospital stay time of the interventional therapy group were significantly shorter; the amount of intraoperative blood loss was significantly less; the scores of anal incontinence, anal edema, pain and bleeding were significantly lower than those in the sclerotherapy group (P < 0.05). The proportion of painless patients and total effective rate in the interventional therapy group were significantly higher; the proportion of moderate pain and total incidence of complications in the sclerotherapy group were significantly lower than those in sclerotherapy group (P < 0.05).
      Conclusion  Compared with soft endoscopy combined with lauromacrogol injection sclerosis therapy, vascular embolization in treatment of stage Ⅰ to Ⅱ internal hemorrhoid hemorrhage patients has better efficacy, which can relieve postoperative pain, reduce the incidence of complications.
  • [1]
    MOTT T, LATIMER K, EDWARDS C. Hemorrhoids: diagnosis and treatment options[J]. Am Fam Physician, 2018, 97(3): 172-179.
    [2]
    叶婷, 张管平, 夏虎平. 胶圈套扎与痣动脉结扎用于Ⅱ~Ⅲ度内痔的疗效及远期复发风险比较[J]. 山东医药, 2021, 61(2): 72-74. doi: 10.3969/j.issn.1002-266X.2021.02.018
    [3]
    郭仕琪, 李华山. 外痔切除联合内痔自动弹力线套扎术治疗混合痔效果的meta分析[J]. 中国医药导报, 2020, 17(5): 104-108. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202005027.htm
    [4]
    唐凡, 陈鹏飞, 李方正, 等. 恶性肿瘤致口腔出血的急诊血管内栓塞介入治疗价值初探[J]. 中华口腔医学杂志, 2021, 56(4): 370-373. doi: 10.3760/cma.j.cn112144-20200603-00312
    [5]
    中华医学会外科学分会结直肠肛门外科学组, 中华中医药学会肛肠病专业委员会, 中国中西医结合学会结直肠肛门病专业委员会. 痔临床诊治指南(2006版)[J]. 中华胃肠外科杂志, 2006(5): 461-463. doi: 10.3760/cma.j.issn.1671-0274.2006.05.039
    [6]
    石玉迎, 郑丽华, 张文, 等. 高位肛瘘虚实结合挂线术后肛管直肠3D测压及肛门失禁WEXNER评分结果探讨[J]. 中国临床医生杂志, 2019, 47(9): 1076-1078. doi: 10.3969/j.issn.2095-8552.2019.09.023
    [7]
    董琳, 康东, 郭锐芳, 等. 聚桂醇剂量的控制在透明帽辅助内镜下硬化术治疗内痔出血的临床体会[J]. 现代消化及介入诊疗, 2021, 26(1): 90-92. doi: 10.3969/j.issn.1672-2159.2021.01.019
    [8]
    杨迪. 直肠上动脉介入栓塞术治疗Ⅱ~Ⅳ度内痔63例疗效观察[J]. 中国肛肠病杂志, 2019, 39(1): 21-22. doi: 10.3969/j.issn.1000-1174.2019.01.011
    [9]
    宋小平, 陈显韬, 闫骁春. 改良外剥内扎术治疗环状混合痔的临床疗效观察[J]. 中国现代医学杂志, 2020, 30(8): 105-109. doi: 10.3969/j.issn.1005-8982.2020.08.020
    [10]
    连银城, 刘先秒, 刘佳, 等. 内痔硬化剂注射与吻合器痔切除术治疗内痔的临床效果比较[J]. 海南医学, 2019, 30(17): 2230-2232. doi: 10.3969/j.issn.1003-6350.2019.17.017
    [11]
    ZAGRIADSKIǏ E A, BOGOMAZOV A M, GOLOVKO E B. Conservative treatment of hemorrhoids: results of an observational multicenter study[J]. Adv Ther, 2018, 35(11): 1979-1992.
    [12]
    TRADI F, MEGE D E, LOUIS G, et al. EmborrhoÏd: traitement des hémorroÏdes Par embolisation des artères rectales[J]. La Presse Médicale, 2019, 48(4): 454-459. doi: 10.1016/j.lpm.2019.04.011
    [13]
    荆剑, 白旭明, 顾星石, 等. 超选择动脉栓塞治疗内痔11例临床效果[J]. 介入放射学杂志, 2018, 27(8): 732-734. https://www.cnki.com.cn/Article/CJFDTOTAL-JRFS201808007.htm
    [14]
    罗春生, 茅爱武, 贾一平, 等. 直肠上动脉介入栓塞术治疗Ⅱ~Ⅳ度内痔的可行性及安全性分析[J]. 结直肠肛门外科, 2018, 24(2): 108-113. https://www.cnki.com.cn/Article/CJFDTOTAL-DCGM201802004.htm
    [15]
    HAN X, XIA F, CHEN G, et al. Superior rectal artery embolization for bleeding internal hemorrhoids[J]. Tech Coloproctology, 2021, 25(1): 75-80.
    [16]
    PARK S, KIM Y, SHIN J H, et al. Outcome of rectal arterial embolization for rectal bleeding in 34 patients: a single-center retrospective study over 20 years[J]. J Vasc Interv Radiol, 2020, 31(4): 576-583.
    [17]
    SUN X, XU J, ZHANG J, et al. Management of rectal bleeding due to internal haemorrhoids with arterial embolisation: a single-centre experience and protocol[J]. Clin Radiol, 2018, 73(11): 985. e1-985. e6.
    [18]
    ISHIKAWA S, MUKAI S, HIRATA Y, et al. Rectal arteriovenous malformation treated by transcatheter arterial embolization[J]. Case Rep Gastroenterol, 2020, 14(1): 7-14.
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