Российский журнал гастроэнтерологии, гепатологии, колопроктологии (Oct 2024)
Results of sclerosing treatment of a hemorrhoids at patients with high surgical risk
Abstract
Aim of investigation. To estimate efficacy and safety of various variants of sclerosing treatment of hemorrhoids at patients with severe concomitant diseases.Material and methods. At 13 patients with chronic hemorrhoids of 2–4 stages sclerosing treatment in combination to ultrasound cavitation, at 14 patients – sclerosing treatment without additional procedures was carried out.Results. Good and satisfactory results of treatment (termination or essential decrease of frequency and intensity of bleedings, decrease of degree of prolapse of hemorrhoids) after a week and month in both groups were identical. In 12 months good result after sclerosing treatment in combination to ultrasound cavitation is ascertained in 58,3% of cases, in the other group – in 15,4% (p<0,05).Conclusion. The best long-term results were obtained after application of sclerotherapy with ultrasound cavitation, allowing to liquidate completely or considerably decrease severity of basic signs of chronic hemorrhoids.