探讨经软式内镜下透明帽辅助硬化术治疗内痔出血的临床疗效及安全性。

回顾性分析2018年8月至2019年10月黑龙江省双鸭山市双矿医院收治的经软式内镜下透明帽辅助硬化术治疗的56例内痔出血患者的临床资料，观察其首次硬化治疗止血成功率、术中及术后肛门疼痛情况、患者满意度等情况。

首次硬化治疗止血成功率为89.2%(50/56)，术后6个月观察，达到痊愈标准的41例、好转14例，总有效率达98.2%(55/56)。疼痛情况：治疗时：无疼痛42例(64.6%)、轻微疼痛12例(21.4%)、剧烈疼痛2例(3.5%)。术后48 h：无疼痛53例(94.6%)、排便痛3例(5.3%)、持续疼痛0例。患者满意度情况：非常满意42例(75%)、满意11例(19.6%)、不满意2例(3.5%)、非常不满意1例(1.7%)。

软式内镜下透明帽辅助硬化术治疗内痔出血具有首次治疗成功率高、安全可靠、患者满意度高等优势，值得临床广泛推广应用。

To investigate the clinical efficacy and safety of cap-assisted endoscopic sclerotherapy in the treatment of internal hemorrhoid hemorrhage.

There is a retrospective analysis of the clinical data of 56 patients with internal hemorrhoid hemorrhage treated with cap-assisted endoscopic sclerotherapy in the Shuangkuang Hospital of Shuangyashan Heilongjiang Province from August 2018 to October 2019, and observed it′s success rate of hemostasis in the first sclerotherapy, anal pain for intraoperative and postoperative, and patient satisfaction, etc.

Success rate of hemostasis in the first sclerotherapy was 89.2% (50/56). Before observeing 6 months after the operation, we found 41 cases reached the recovery standard and 14 cases improved.The total effective rate was 98.2% (55/56). Pain conditions during treatment: 42 cases (64.6%) with no pain, 12 cases (21.4%) with slight pain, and 2 cases (3.5%) with intense pain. 48 hours after operation: 53 cases (94.6%) with no pain, 3 cases (5.3%) with defecation pain, and 0 with persistent pain.Patient satisfaction 42 cases were very satisfied (75%), 11 cases were satisfied (19.6%), 2 cases were dissatisfied (3.5%), and 1 case was very dissatisfied (1.7%).

Cap-assisted endoscopic sclerotherapy for the treatment of internal hemorrhoid hemorrhage has the advantages below: high success rate of treatment for the first time , safety and reliability, and high patient satisfaction. it is worth widely developing and applying to the clinic.