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

  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.