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Treatment method for treating internal hemorrhoids through combination of foam hardening agent and loop ligature

A technology of foam hardening agent and treatment method, which is applied in the direction of anti-inflammatory agent, drug combination, pharmaceutical formula, etc., can solve the problems of limited promotion, achieve the effect of reducing pain and discomfort, reducing postoperative pain and discomfort, and reducing the amount of original solution

Pending Publication Date: 2022-03-11
XIN HUA HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Endoscopic rubber band ligation has the advantages of clear vision, easy operation, and fewer side effects, and has received attention in recent years. Postoperative perianal pain and discomfort severely limit the promotion of this technique in the field of digestive endoscopy

Method used

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  • Treatment method for treating internal hemorrhoids through combination of foam hardening agent and loop ligature
  • Treatment method for treating internal hemorrhoids through combination of foam hardening agent and loop ligature
  • Treatment method for treating internal hemorrhoids through combination of foam hardening agent and loop ligature

Examples

Experimental program
Comparison scheme
Effect test

Embodiment example 1

[0041] The present invention provides a technical solution: a method for treating internal hemorrhoids with foam sclerosing agent combined with ligation, comprising the following steps:

[0042] S1. Complete colonic examination before operation to make a clear diagnosis and use electronic gastroscope end to use transparent cap to assist. The two groups of patients received endoscopic treatment. The two groups were FS combined with ERBL group and ERBL group, and anticoagulant drugs were stopped before operation. 5-7 days, blood routine, coagulation function and routine examination of liver and kidney function;

[0043] S2, using a cleaning hardener to prepare a foam hardener;

[0044] S3. Foam sclerosing agent combined with rubber band ligation treatment: face up to the hemorrhoids or submucosal multi-point injection, the purpose is to fully lift the rectal mucosa, replace the rubber band ligation device at the end of the electronic gastroscope, and perform negative pressure su...

Embodiment example 2

[0073] A total of 88 patients met the inclusion criteria, including 1 case of lung tumor surgery, 2 cases of ulcerative colitis (in remission), and 1 case of Sjögren's syndrome, which were excluded. There were 84 effective cases in total, age (54.4 ±7.9) years old, body mass index (22.7±2.1) kg / m, male accounted for 57.1% (48 / 84), of which 43 cases were in the ERBL group, 76.7% (33 / 43) of second-degree internal hemorrhoids, combined with blood in the stool accounted for 86.0% (37 / 43); 41 cases in the FS combined with ERBL group, 70.7% (29 / 41) of second-degree internal hemorrhoids, 92.7% (38 / 41) combined with blood in the stool; there was no significant difference in baseline data between the two groups, see Table 1 .

[0074] Table 1 Comparison of general characteristics of patients with internal hemorrhoids treated by different methods under endoscopy

[0075]

[0076] The number of ligation rings used in the two groups was compared, the ERBL group ligated (3.5+0.9) rings...

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Abstract

The invention discloses a treatment method for treating internal hemorrhoids through combination of a foam hardening agent and loop ligature, and relates to the technical field of treatment of internal hemorrhoids through combination of a foam hardening agent and loop ligature, in particular to a treatment method for treating internal hemorrhoids through combination of a foam hardening agent and loop ligature. An electronic gastroscope is used for assisting in endoscopic treatment by using a transparent cap at the head end; s2, preparing a foam hardening agent by using a cleaning hardening agent; s3, foam hardener and rubber ring combined loop ligature treatment: performing multi-point injection under front view downward hemorrhoids or mucous membranes so as to enable the rectal mucous membranes to be fully lifted, replacing a rubber ring loop ligature device at the head end of the electronic gastroscope, performing rubber ring loop ligature treatment after negative pressure suction is performed on the upper hemorrhoids mucous membranes under a rectum endoscopic mirror, and alternately performing circumferential staggering. The foam dosage form can significantly reduce the use amount of the hardener stock solution, increase the fibrosis effect and reduce postoperative bleeding.

Description

technical field [0001] The invention relates to the technical field of treating internal hemorrhoids with foam sclerosant combined with ligation, in particular to a treatment method for treating internal hemorrhoids with foam sclerosant combined with ligation. Background technique [0002] Hemorrhoids are the most common benign lesions of the colorectum, with a prevalence rate of 4.4%-40% in the population. Hemorrhoids often occur in the age group of 45-65, and often cause prolapse, bleeding, perianal itching and other discomforts that seriously affect the quality of life of patients. Rubber Snare ligation is minimally invasive, easy to operate, and has few side effects. It has become the preferred non-surgical method for the treatment of internal hemorrhoids in European and American countries, especially for patients with second-degree prolapse. [0003] At present, it is believed that the long-term recurrence rate of internal hemorrhoids treated with rubber ring ligation i...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/12A61B5/00A61K31/765A61P9/14A61P29/00
CPCA61B17/12022A61B5/4824A61K31/765A61K9/0019A61P9/14A61P29/00
Inventor 沈峰徐雷鸣曾静
Owner XIN HUA HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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