临床与病理杂志2025，Vol.45Issue(4)：521-526,6.DOI:10.11817/j.issn.2095-6959.2025.240425
泡沫硬化术治疗内痔术后大出血1例
Massive postoperative hemorrhage treated with foam sclerotherapy following internal hemorrhoid surgery:A case report
摘要
Abstract
Hemorrhoids are one of the most common anorectal conditions,typically presenting with symptoms such as rectal bleeding,prolapse,pain,and anal itching,and are prone to recurrence.Minimally invasive endoscopic treatments for internal hemorrhoids mainly include endoscopic band ligation and sclerotherapy,which offer advantages over traditional surgical approaches,such as simplicity,minimal trauma,faster recovery,and repeatability.On May 18,2021,the Department of Gastroenterology at the Fuyang Second People·s Hospital admitted a female patient who presented with recurrent rectal bleeding following internal hemorrhoid surgery.On May 19,2021,the patient underwent emergency hemostasis under colonoscopy.Endoscopic examination revealed wedge-shaped incisions around the perianal skin,ulcers with purulent discharge,multiple blue sutures with oozing blood,2 hemorrhoids,and multiple hemorrhagic blisters at the apex.Foam sclerotherapy was administered at 5 identified bleeding points to achieve hemostasis.Postoperatively,bleeding ceased,and the patient·s anal pain and sensation of fullness gradually improved.Follow-up showed no recurrence of rectal bleeding or anal discomfort,with a marked improvement in quality of life and satisfactory treatment outcome.关键词
内痔/泡沫硬化术/术后再出血/反复便血/止血治疗Key words
internal hemorrhoids/foam sclerotherapy/postoperative rebleeding/repeated hematochezia/hemostasis treatmentg引用本文复制引用
邵蔚,朱珂,马超..泡沫硬化术治疗内痔术后大出血1例[J].临床与病理杂志,2025,45(4):521-526,6.基金项目
阜阳市卫生健康科研项目(FY2023-029) （FY2023-029）
阜阳市重点研究与开发计划项目临床医学研究转化专项(FK20245519).This work was supported by the Fuyang City Health Research Project(FY2023-029)and the Fuyang Key Research and Development Program-Clinical Medical Research Transformation Special Project(FK20245519),China. （FK20245519）
