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: Chen Yongcheng, Huang Dandan, Su Dan, Hu Bang, Peng Hui
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2023-10-01
Series:结直肠肛门外科
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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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author Chen Yongcheng
Huang Dandan
Su Dan
Hu Bang
Peng Hui
author_facet Chen Yongcheng
Huang Dandan
Su Dan
Hu Bang
Peng Hui
author_sort Chen Yongcheng
collection DOAJ
description [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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spelling doaj-art-080792c93b8643f0bfcb57200a2817b72025-08-20T01:51:45ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912023-10-0129547948410.19668/j.cnki.issn1674-0491.2023.05.012Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoidsChen Yongcheng0Huang Dandan1Su Dan2Hu Bang3Peng Hui4Department of Endoscopic Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong, ChinaGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong, ChinaGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong, ChinaGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong, ChinaGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou 510655, Guangdong, China[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.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%9Fgrade ⅱ internal hemorrhoidsshaobei injectionrubber ring ligationendoscopic treatment
spellingShingle Chen Yongcheng
Huang Dandan
Su Dan
Hu Bang
Peng Hui
Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
结直肠肛门外科
grade ⅱ internal hemorrhoids
shaobei injection
rubber ring ligation
endoscopic treatment
title Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
title_full Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
title_fullStr Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
title_full_unstemmed Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
title_short Clinical efficacy analysis of endoscopic Shaobei injection and rubber band ligation in the treatment of grade Ⅱ internal hemorrhoids
title_sort clinical efficacy analysis of endoscopic shaobei injection and rubber band ligation in the treatment of grade ii internal hemorrhoids
topic grade ⅱ internal hemorrhoids
shaobei injection
rubber ring ligation
endoscopic treatment
url 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
work_keys_str_mv AT chenyongcheng clinicalefficacyanalysisofendoscopicshaobeiinjectionandrubberbandligationinthetreatmentofgradeiiinternalhemorrhoids
AT huangdandan clinicalefficacyanalysisofendoscopicshaobeiinjectionandrubberbandligationinthetreatmentofgradeiiinternalhemorrhoids
AT sudan clinicalefficacyanalysisofendoscopicshaobeiinjectionandrubberbandligationinthetreatmentofgradeiiinternalhemorrhoids
AT hubang clinicalefficacyanalysisofendoscopicshaobeiinjectionandrubberbandligationinthetreatmentofgradeiiinternalhemorrhoids
AT penghui clinicalefficacyanalysisofendoscopicshaobeiinjectionandrubberbandligationinthetreatmentofgradeiiinternalhemorrhoids