Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
[Objectives] To compare and assess the clinical efficacy and safety of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids, and to offer clinical treatment recommendations. [Methods] A retrospective collection of clinical data involved 96 patients w...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2023-10-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=186&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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| Summary: | [Objectives] To compare and assess the clinical efficacy and safety of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids, and to offer clinical treatment recommendations. [Methods] A retrospective collection of clinical data involved 96 patients with grade Ⅱ internal hemorrhoids who underwent either endoscopic Shaobei injection (n＝48) or rubber band ligation (n＝48) at the Endoscopic Surgery Department of the Sixth Affiliated Hospital of Sun Yat-sen University from December 2019 to March 2023. The postoperative adverse events (postoperative anal pain, anal distension, and anal edema), perioperative complications, treatment costs, quality of life evaluation, comprehensive efficacy and treatment satisfaction were compared between the two groups. [Results] In the Shaobei injection group, the VAS scores for postoperative pain on the first and seventh days were lower than those in the rubber band ligation group. The incidence of postoperative anal distension on the first day was significantly lower in the Shaobei injection group than in the rubber band ligation group (P<0.001). Within one week after surgery, the probability of bleeding in the Shaobei injection group was lower (P<0.05), but there were no significant differences in the incidence of urinary retention and fever between the two groups (P>0.05). The treatment costs of the Shaobei injection group was significantly less than that of the rubber band ligation group (P<0.001). At 3 months after surgery, the EQ VAS score in the rubber band ligation group was better than that in the Shaobei injection group (P<0.05). The EQ VAS scores of both groups at 3 months after surgery were significantly higher than those before surgery (P<0.001). The effective rate of treatment in both groups was 97.9%, and there was no significant difference in treatment satisfaction (P>0.05). [Conclusion] Both Shaobei injection and rubber band ligation exhibit positive efficacy in the treatment of grade Ⅱ internal hemorrhoids. However, the former demonstrates distinct advantages in reducing postoperative anal pain, reducing anal distension and postoperative complications within one week, and lowering treatment costs. |
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| ISSN: | 1674-0491 |