Gupta P J
Gupta Nursing Home, Nagpur, India.
Bratisl Lek Listy. 2006;107(5):192-6.
The treatment of hemorrhoids has undergone significant changes after introduction of new techniques during last years. Radiofrequency coagulation is a new approach for treating grade I and II hemorrhoids. In this procedure, the hemorrhoidal tissue is coagulated by a high frequency radio wave. The author describes his experience using 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 months follow-up was carried out to assess a relief in bleeding episodes, complications, and recurrence rate.
While 13% of patients experienced persistence or recurrence of bleeding, 2% of patients needed readmission for secondary hemorrhage. None has reported an infective complication. Overall ratio of comfort and patient contentment with pain and bleeding was satisfactory.
The treatment of bleeding hemorrhoids using the radiofrequency coagulation is technically simple, therapeutically effective and virtually complication free. The equipment is portable, easy handling, long lasting, and needs only little maintenance. Long-term follow-up is necessary to justify reliability of this method (Ref. 49).
在过去几年引入新技术后，痔疮的治疗发生了重大变化。射频凝固术是治疗Ⅰ度和Ⅱ度痔疮的一种新方法。在此手术中，痔组织通过高频无线电波凝固。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%的患者出现出血持续或复发，2%的患者因继发性出血需要再次入院。无人报告有感染性并发症。总体而言，患者对疼痛和出血的舒适度及满意度比例令人满意。
使用射频凝固术治疗出血性痔疮技术简单、治疗有效且几乎无并发症。该设备便于携带、易于操作、耐用且只需很少的维护。需要进行长期随访以证明该方法的可靠性（参考文献49）。
