痔的管理
Managing haemorrhoids.
作者信息
Nisar Pasha J, Scholefield John H
机构信息
Section of Gastrointestinal Surgery, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH.
出版信息
BMJ. 2003 Oct 11;327(7419):847-51. doi: 10.1136/bmj.327.7419.847.
Abstract
Increased understanding of the anatomy of haemorrhoids has led to the development of new procedures to treat them. Among the surgical options for intractable prolapsed haemorrhoids, formal haemorrhoidectomy now competes with stapled haemorrhoidopexy, which is less painful and allows a shorter convalescence but may have a higher recurrence rate and needs further long term evaluation
摘要
对痔疮解剖结构的深入了解促使了治疗痔疮新方法的发展。在治疗顽固性脱垂性痔疮的手术选择中，传统痔切除术如今要与吻合器痔上黏膜环切术竞争，后者疼痛较轻，康复期较短，但复发率可能更高，需要进一步进行长期评估。
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本文引用的文献
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Stapled haemorrhoidopexy: a consensus position paper by an international working party - indications, contra-indications and technique.吻合器痔上黏膜环切术：国际工作组的共识立场文件——适应证、禁忌证及技术
Colorectal Dis. 2003 Jul;5(4):304-10. doi: 10.1046/j.1463-1318.2003.00483.x.
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Rubber band ligation for hemorrhoidal disease can be safely performed in select HIV-positive patients.
Dis Colon Rectum. 2001 Aug;44(8):1079-82. doi: 10.1007/BF02234625.
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Gastroenterol Clin North Am. 2001 Mar;30(1):183-97. doi: 10.1016/s0889-8553(05)70173-4.
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Persistent pain and faecal urgency after stapled haemorrhoidectomy.吻合器痔上黏膜环切术后的持续性疼痛和便急
Lancet. 2000 Aug 26;356(9231):730-3. doi: 10.1016/S0140-6736(00)02632-5.
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Eur J Surg. 2000 Oct;166(10):808-12; discussion 813. doi: 10.1080/110241500447452.
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Prospective study of healing time after hemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome, and anal wound infection.痔切除术后愈合时间的前瞻性研究：HIV感染、获得性免疫缺陷综合征及肛门伤口感染的影响
Dis Colon Rectum. 1999 Sep;42(9):1140-4. doi: 10.1007/BF02238565.
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Limited hemorrhoidectomy: results and long-term follow-up.局限性痔切除术：结果与长期随访
Dis Colon Rectum. 1999 Jul;42(7):909-14; discussion 914-5. doi: 10.1007/BF02237100.
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