Accarpio G, Ballari F, Puglisi R, Menoni S, Ravera G, Accarpio F T, Cariati A, Zaffarano R
Department of Colorectal Surgery, Villa Scassi Hospital, Sampierdarena (GE), Italy.
Tech Coloproctol. 2002 Dec;6(3):195-6. doi: 10.1007/s101510200043.
A combination of sclerotherapy, rubber band ligation and infrared coagulation was performed in 7850 patients seen an outpatient clinic over a period of 9 years. The most common symptom was bleeding followed by prolapse, pain and itching. Results were considered satisfactory in 7100 patients (90.5%); 750 (9.5%) required a formal hemorrhoidectomy. Complications were mild to moderate pain in 1777 cases (22.6%), severe pain in 157 cases (2.2%), mild hemorrhage in 199 (2.5%) and hemorrhage requiring transfusion in 10 cases (0.1%). In conclusion, non-surgical outpatient treatment has a great impact on patient's perception of the disease and results in considerable savings for the healthcare system.
在9年的时间里,对7850名门诊患者进行了硬化疗法、橡皮圈套扎术和红外线凝固术联合治疗。最常见的症状是出血,其次是脱垂、疼痛和瘙痒。7100名患者(90.5%)的治疗结果被认为是满意的;750名患者(9.5%)需要进行正式的痔切除术。并发症包括1777例(22.6%)轻度至中度疼痛、157例(2.2%)重度疼痛、199例(2.5%)轻度出血和10例(0.1%)需要输血的出血。总之,非手术门诊治疗对患者对疾病的认知有很大影响,并为医疗系统节省了可观的费用。