Gupta P J
Gupta Nursing Home, Nagpur, India.
Bratisl Lek Listy. 2005;106(8-9):274-8.
The treatment for hemorrhoids has undergone significant changes on introduction of new techniques in the last few years. Radiofrequency coagulation is a new approach for treating grades I and II of hemorrhoids. In this procedure, the hemorrhoidal tissue is coagulated by means of high-frequency radio wave. The author has described his own experience with this new technique.
The procedure was performed using an Ellman radiofrequency generator. Over a period of 18 months, patients with bleeding hemorrhoids were treated with this technique and a 16-month follow-up was carried out to assess relief in bleeding episodes, complications, and recurrence rate.
While 13 % of patients had persistent or recurrent bleeding, 2 % of patients needed readmission for secondary hemorrhage. None had reported with any infective complication. The overall ratio of comfort, and patient's satisfaction due to relief of pain and bleeding were quite satisfactory.
The treatment of bleeding hemorrhoids by using radiofrequency coagulation is technically simple, therapeutically effective and virtually complication-free. The equipment is portable, easy to handle, durable, and needs little maintenance. Long-term follow-up is necessary to justify the reliance on this method (Ref. 49).
在过去几年中，随着新技术的引入，痔疮的治疗方法发生了重大变化。射频凝固术是治疗I度和II度痔疮的一种新方法。在该手术中，通过高频无线电波使痔组织凝固。作者描述了他使用这种新技术的经验。
使用Ellman射频发生器进行该手术。在18个月的时间里，用这种技术治疗了出血性痔疮患者，并进行了16个月的随访，以评估出血情况的缓解、并发症和复发率。
13%的患者有持续性或复发性出血，2%的患者因继发性出血需要再次入院。没有报告任何感染性并发症。舒适度以及因疼痛和出血缓解导致患者的满意度总体比例相当令人满意。
使用射频凝固术治疗出血性痔疮在技术上简单、治疗有效且几乎无并发症。该设备便于携带、易于操作、耐用且几乎无需维护。需要进行长期随访以证明对该方法的依赖是合理的（参考文献49）。
