Time to change? Present and prospects of hemorrhoidal classification

作者全名："Wang, Ling; Ni, Jiachun; Hou, Changcheng; Wu, Di; Sun, Li; Jiang, Qiong; Cai, Zengjin; Fan, Wenbin"

作者地址："[Wang, Ling; Fan, Wenbin] Chongqing Coll Tradit Chinese Med, Chongqing, Peoples R China; [Wang, Ling; Wu, Di; Sun, Li; Jiang, Qiong; Fan, Wenbin] Chongqing Med Univ, Chongqing, Peoples R China; [Wang, Ling; Hou, Changcheng; Wu, Di; Sun, Li; Cai, Zengjin] Chongqing Med Univ, Yongchuan Hosp Tradit Chinese Med, Dept Otolaryngol, Chongqing, Peoples R China; [Ni, Jiachun] Shanghai Univ Tradit Chinese Med, Yueyang Hosp Integrated Tradit Chinese & Western M, Dept Coloproctol, Shanghai, Peoples R China"

通信作者："Fan, WB (通讯作者)，Chongqing Coll Tradit Chinese Med, Chongqing, Peoples R China.; Fan, WB (通讯作者)，Chongqing Med Univ, Chongqing, Peoples R China."

来源：FRONTIERS IN MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001089180700001

JCR分区：Q1

影响因子：3.1

年份：2023

卷号：10

期号：　

开始页：　

结束页：　

文献类型：Review

关键词：hemorrhoids; classification; surgical procedures; surgical operative; review

摘要："As a common benign anal condition, the high incidence and recurrence of hemorrhoids pose challenges for both patients and doctors. The classification of hemorrhoids plays a crucial role in assessing, diagnosing, and treating the condition. By using appropriate classification and corresponding treatment strategies, we can achieve higher cure rates and lower recurrence rates of hemorrhoids. Since the introduction of the Miles classification in 1919, various classifications have been developed, which include objective classifications based on anatomical or instrumental assessment and subjective classifications based on symptoms and patient sensations. These classifications aim to accurately evaluate the condition. In this study, we discuss the evaluation values of each classification in terms of their advantages, disadvantages, treatment relevance, reproducibility, practicality, and assessment value. We also analyze the significant and essential factors, principles of use, and components of assessment indicators of hemorrhoidal classification. This study proposes several strategies to address the limitations of current hemorrhoidal assessment methods. All these will provide a reference for the development regarding the assessment and classification of hemorrhoids and clinical diagnosis and management of hemorrhoids."

基金机构：This work was supported by the Science and Technology Research Program of Chongqing Municipal Education Commission (Grant No. KJQN202315143 to WF) and the University-Industry Collaborative Education Program (Grant No. 221006551081908 to WF). [KJQN202315143]; Science and Technology Research Program of Chongqing Municipal Education Commission [221006551081908]; University-Industry Collaborative Education Program

基金资助正文：This work was supported by the Science and Technology Research Program of Chongqing Municipal Education Commission (Grant No. KJQN202315143 to WF) and the University-Industry Collaborative Education Program (Grant No. 221006551081908 to WF).