Observation on the Curative Effect of Combined Imaging Mode and Postoperative Finger Massage under Gastroscope for Internal Hemorrhoids  

作　　者：ZHOUMingdong TONGQiaoyun 

机构地区：[1] Institute of Digestive Diseases, Three Gorges University, Yichang Hubei 443000, China [2] Department of Gastroenterology, Yichang Central People's Hospital, Yichang Hubei 443000, China

出　　处：《外文科技期刊数据库(文摘版)医药卫生》2022年第7期097-100,共4页

摘　　要：Objective: to evaluate the clinical efficacy and safety of linked color imaging (LCI) combined with postoperative finger massage under gastroscope for internal hemorrhoids. Methods: a total of 60 patients undergoing endoscopic sclerotherapy for internal hemorrhoids in Yichang Central Peoples Hospital from June 2020 to September 2021 were randomly divided into study (LCI) group (n 30) and control (WLE) group (n 30). Under the gastroscope imaging mode (LCI) and ordinary white light endoscopy (WLE) respectively, use a gastroscope with a transparent cap to add a small amount of methylene blue tracer into the polylol stock solution and inject it into the hemorrhoid nucleus at different points, so as to observe that the tracer will immediately stop the injection. If there is a small amount of hemorrhage after the injection, an additional injection of about 0.5 mL can be made. Routine injection will be carried out at 4-5 points, with the total amount not exceeding 10ml. In LCI group, the fingers will be massaged for about 30s after the operation. The symptoms and complications of rebleeding and internal hemorrhoid prolapse within 6 months after operation were compared between the two groups. Results: in the study (LCI) group, 1.0ml and 4.5ml;Of dailyl alcohol were injected at each point on average. The control (WLE) group received an average of 1.5ml of polyglycerol at each point, with a total amount of 7.0ml. During the follow-up period of 6 months after operation, there was no rebleeding in both groups. In the LCI group, there were 10 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but they were significantly better than before. In the WLE group, there were 24 cases of postoperative anal distension, slight pain and 3 cases of internal hemorrhoid prolapse, but except for a small part of anal distension and slight pain, the rest all disappeared spontaneously in 1 to 2 weeks without serious complications such as anal stenosis, gastrointestinal hemorrhage and perforation Co

关 键 词：linkage imaging finger massage polylauryl alcohol internal hemorrhoids SCLEROTHERAPY 

分 类 号：R657.18[医药卫生—外科学]