Picciariello Arcangelo, Tsarkov Petr V, Papagni Vincenzo, Efetov Sergey, Markaryan Daniel R, Tulina Inna, Altomare Donato F
Department of Emergency and Organ Transplantation, University "Aldo Moro" of Bari, Bari, Italy.
I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Rev Recent Clin Trials. 2021;16(1):10-16. doi: 10.2174/1574887115666200312163940.
Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patients' lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended.
In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated.
The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory.
Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.
痔病（HD）是一种影响相当一部分成年人群的良性疾病。HD可被视为一种对患者生活方式有重大影响的社会和经济负担。已经提出了几种用于HD治疗的新技术和设备；然而，术前评估至关重要，建议使用分类系统。
在过去二十年中，许多研究描述了HD的术前评估和几种分类尝试。本综述重点关注文献中发现的最相关研究，其中对分类系统和鉴别诊断的临床评估进行了评估。
已证明HD分类系统和鉴别诊断的知识在临床评估和最佳治疗选择中起着核心作用。尽管有用于HD治疗的新的具有挑战性的技术和设备，但术前评估始终是必需的。
术前临床评估对HD患者的治疗和预后至关重要。分类系统有助于治疗选择以及新的药物或手术治疗研究。事实上，国际指南根据HD的严重程度建议了几种治疗选择。
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