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Clinical effect of sclerotherapy with different administration methods of lauromacrogol under colonoscopy assisted by transparent cap in the treatment of stage I andⅡhemorrhagic internal hemorrhoids |
QIN Guo-tao1 YANG Li1▲ DAI Chun-lei2 MA Wei-yan1 WANG Zhong-hui2 YANG Liu3 LIU Zhi-zhong1 |
1.Department of Gastroenterology,General Hospital of China First Automobile Works Group,Jilin Province,Changchun 130000,China;
2.Department of Hepatobiliary Surgery,General Hospital of China First Automobile Works Group,Jilin Province,Changchun 130000,China;
3.Department of General Surgery,General Hospital of China First Automobile Works Group,Jilin Province,Changchun 130000,China |
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Abstract Objective To evaluate the efficacy and safety of sclerotherapy with different administration methods of lauromacrogol under transparent cap assisted colonoscopy in the treatment of stage I andⅡhemorrhagic internal hemorrhoids.Methods A total of 130 patients with stageⅠandⅡhemorrhagic internal hemorrhoids were selected as subjects from January 2019 to January 2020 in the Department of Gastroenterology in the General Hospital of China First Automobile Works Group,Jilin Province.The patients were divided into control group(75 cases)and observation group(55 cases)according to the order of admission time.The patients in the control group were divided into control group 1(stageⅠ,42 cases)and control group 2(stageⅡ,33 cases).The patients in the observation group were divided into observation group 1(stageⅠ,32 cases)and observation group 2(stageⅡ,23 cases).The control group 1 and control group 2 were treated with lauryl alcohol liquid sclerotherapy under colonoscopy assisted by transparent cap.The observation group 1 and the observation group 2 were treated with lauromacrogol foam sclerotherapy under colonoscopy assisted by transparent cap.The total dosage of lauryl alcohol,the total effective rate and the incidence of complications were compared.Results There was no significant difference in the total amount of lauromacrogol between the observation group 1 and the observation group 2(P>0.05).The total amount of lauromacrogol in observation group 1 was less than control group 1,and the difference was statistically significant(P<0.05).The total amount of lauromacrogol in observation group 2 was less than control group 2,and the difference was statistically significant(P<0.05).There was no significant difference in the total effective rate between the observation group 1 and the control group 1(P>0.05).There was no significant difference in the total effective rate between the observation group and the control group(P>0.05).The total incidence of postoperative complications in observation group 1 was lower than control group 1,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in observation group 2 was lower than control group 2,and the difference was statistically significant(P<0.05).Conclusion Under colonoscopy assisted by transparent cap,the injection of lauromacrogol sclerosis agent is safe and effective in the treatment of stage I andⅡhemorrhagic internal hemorrhoids.Compared with liquid administration,foam administration of lauromacrogol has less dose and lower complication rate,which has obvious advantages.
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Cite this article: |
QIN Guo-tao,YANG Li,DAI Chun-lei, et al. Clinical effect of sclerotherapy with different administration methods of lauromacrogol under colonoscopy assisted by transparent cap in the treatment of stage I andⅡhemorrhagic internal hemorrhoids[J]. 中国当代医药, 2021, 28(14): 65-68.
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URL: |
http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I14/65 |
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