J Samrobinson, R Jeyaganesh, Arumugam Geetha, Vignesh Nawin J
General Surgery, Vels Medical College and Hospital, Tiruvallur, IND.
General Surgery, Velammal Medical College and Hospital, Madurai, IND.
Cureus. 2024 Jul 15;16(7):e64570. doi: 10.7759/cureus.64570. eCollection 2024 Jul.
Background Hemorrhoids are an extremely common surgical condition affecting millions of individuals worldwide. Treatment options for hemorrhoids vary depending on the severity of symptoms and the type of hemorrhoids. The common non-surgical procedures for grade one and two hemorrhoids include rubber band ligation and sclerotherapy. The present study aims to compare the efficiency of rubber band ligation and sclerotherapy for the treatment of symptomatic grade one and two internal hemorrhoids in a tertiary care hospital. Methodology We conducted a one-year longitudinal survey among 200 patients with internal hemorrhoids in a tertiary care center in Madurai. We gathered data on demographic profiles, symptoms, postoperative complications, intraoperative pain, and treatment outcomes. Data analysis was done using the Pearson chi-square test to assess the difference between rubber band ligation and sclerotherapy treatment groups. A p-value <0.05 was considered statistically significant. Results A total of 200 patients were studied, of whom 100 belonged to the rubber band ligation treatment group and 100 belonged to the sclerotherapy treatment group. The preoperative symptoms were similarly distributed between both treatment groups. Intraoperative and immediate postoperative pain was higher in the rubber band ligation group than in the sclerotherapy group. Post-procedure complications were more commonly seen in the rubber band ligation group than in the sclerotherapy group at various weeks of the procedures. Conclusions Postoperative complications such as bleeding, prolapse, and infection/discharge were significantly different between the two treatment groups. The treatment outcome was significantly different between the two treatment groups after three, six, and nine weeks postoperatively. Overall, the sclerotherapy group was associated with fewer postoperative complications, more excellent patient response, and a more complete response to treatment than the rubber band ligation group.
痔疮是一种极为常见的外科疾病，全球数以百万计的人受其影响。痔疮的治疗方案因症状严重程度和痔疮类型而异。一、二度痔疮的常见非手术治疗方法包括橡皮圈套扎术和硬化疗法。本研究旨在比较在一家三级护理医院中橡皮圈套扎术和硬化疗法治疗有症状的一、二度内痔的疗效。
我们在马杜赖的一家三级护理中心对200例内痔患者进行了为期一年的纵向调查。我们收集了人口统计学资料、症状、术后并发症、术中疼痛和治疗结果的数据。使用Pearson卡方检验进行数据分析，以评估橡皮圈套扎术和硬化疗法治疗组之间的差异。p值<0.05被认为具有统计学意义。
总共研究了200例患者，其中100例属于橡皮圈套扎术治疗组，100例属于硬化疗法治疗组。两个治疗组术前症状分布相似。橡皮圈套扎术组术中及术后即刻疼痛高于硬化疗法组。在术后不同周，橡皮圈套扎术组比硬化疗法组更常见术后并发症。
两个治疗组在出血、脱垂和感染/分泌物等术后并发症方面存在显著差异。术后三周、六周和九周时，两个治疗组的治疗结果存在显著差异。总体而言，与橡皮圈套扎术组相比，硬化疗法组术后并发症更少，患者反应更佳，对治疗的反应更完全。
