消化内镜内痔微创诊疗专家共识（2025，广州）

Digestive endoscopic expert consensus for internal hemorrhoids (2025, Guangzhou)

摘要:

痔病是最常见的肛肠疾病，在人群中发病率极高，严重影响人们正常的生活和工作。消化内镜在内痔微创治疗中优点众多，在中国已经逐步普及。为更好地规范消化内镜内痔诊疗和促进这项技术健康发展，中华医学会消化内镜学分会内痔协作组组织了53名国内从事内痔微创治疗的消化内镜专家和肛肠领域专家，基于最新的循证医学证据、国内外近期发布的痔病诊疗指南和已经发表的研究数据，在2021版中国消化内镜内痔诊疗指南及操作共识的基础上，结合4年来内痔微创技术的进步及治疗策略和理念的进展，形成了适合中国国情和消化内镜特点的2025年消化内镜内痔微创诊疗专家共识，以期为消化内镜医师对痔病的诊断和治疗提供指导。

Abstract:

Hemorrhoids are the most common anorectal disease with high incidence rate among the population, which significantly affect normal life and work. Digestive endoscopy has numerous advantages in the minimally invasive treatment for internal hemorrhoids and has been gradually popularized in China. In order to better standardize the diagnosis and treatment of digestive endoscopy for internal hemorrhoids, and promote the healthy development of this technology, Internal Hemorrhoids Cooperative Group, Digestive Endoscopy Branch of Chinese Medical Association organized 53 domestic experts in digestive endoscopy and anorectal field who engaged in minimally invasive treatment for internal hemorrhoids. Based on the latest evidence‑based medicine evidence, the recent guidelines for diagnosis and treatment of hemorrhoids at home and abroad, the published research data, Chinese digestive endoscopic practice guidelines and operation consensus for internal hemorrhoids (2021), combined with the progress of minimally invasive techniques for internal hemorrhoids and the development of treatment strategies and concepts during the past 4 years, the digestive endoscopic operation consensus for internal hemorrhoids (2025), which is suitable for Chinese national conditions and the characteristics of digestive endoscopy, has been formulated. It will provide better guidance for digestive endoscopists in the diagnosis and treatment of hemorrhoids.