Duben J, Ponížil P, Dudešek B, Hnátek L, Gatěk J
Rozhl Chir. 2018 Summer;97(9):419-422.
Bipolar radiofrequency-induced thermotherapy of advanced stage haemorrhoid disease has been used successfully at the Atlas Hospital in Zlin for ten years. The aim of this study was to evaluate long-term outcomes of the method.
RFITTH is bipolar radiofrequency-induced thermotherapy of haemorrhoidal diseases. High frequency electric current causes thermal coagulation of tissue. The procedure results in the elimination or significant reduction of prolapse and bleeding of hemorrhoids.
228 RFITTH procedures were performed in 217 patients at the Department of Surgery at the Atlas Hospital from 9/2007 to 1/2017. The group consisted of 134 men and 94 women, the average age was 51 years. 107 operations were performed in stage III and 121 in stage IV. Complications of the procedure involved postoperative fissure occurring in 20 patients (8.7 %). Thrombotic haemorrhoid developed in 6 patients (2.6 %), hyperspasm of the sphincters in 9 patients (3.9 %). Prolapse of the rectal mucosa was diagnosed in 4 patients (1.7 %). The disease recurred in 9 patients and 10 reoperations were performed (3.9 %).
The method is a safe miniinvasive therapeutic option for advanced stage haemorrhoidal disease. Key words: RFITTH - haemorrhoidal disease - radiofrequency coagulation.
在兹林的阿特拉斯医院，双极射频诱导热疗法治疗晚期痔病已成功应用了十年。本研究的目的是评估该方法的长期疗效。
RFITTH是双极射频诱导痔病热疗法。高频电流导致组织热凝。该手术可消除或显著减少痔的脱垂和出血。
2007年9月至2017年1月，阿特拉斯医院外科对217例患者进行了228次RFITTH手术。该组包括134名男性和94名女性，平均年龄为51岁。III期手术107例，IV期手术121例。该手术的并发症包括20例患者（8.7%）出现术后肛裂。6例患者（2.6%）发生血栓性痔，9例患者（3.9%）出现括约肌痉挛。4例患者（1.7%）诊断为直肠黏膜脱垂。9例患者疾病复发，进行了10次再次手术（3.9%）。
该方法是晚期痔病安全的微创治疗选择。关键词：RFITTH - 痔病 - 射频凝固
