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[痔疮病痛]

[Haemorrhoidal suffering].

作者信息

Pühse G, Raulf F

机构信息

Klinik und Poliklinik für Urologie, Universitätsklinikum Münster, Albert-Schweitzer-Strasse 33, 48149, Münster, Deutschland.

出版信息

Urologe A. 2007 Mar;46(3):W303-14; quiz W315. doi: 10.1007/s00120-006-1281-6.

DOI:10.1007/s00120-006-1281-6
PMID:17294153
Abstract

Improvements in our understanding of the anatomy of haemorrhoids have prompted the development of new and innovative methods of treatment. Conservative treatment consists of dietary and lifestyle modifications. Standard interventional procedures in outpatient treatment are injection sclerotherapy and rubber band ligation. Among the surgical options for prolapsed haemorrhoids, formal haemorrhoidectomy now competes with stapled haemorrhoidopexy, which is less painful and allows shorter convalescence but may have a higher recurrence rate and needs further long-term evaluation.

摘要

我们对痔疮解剖学认识的提高促使了新的创新治疗方法的发展。保守治疗包括饮食和生活方式的改变。门诊治疗的标准介入程序是注射硬化疗法和橡皮圈套扎术。在脱垂性痔疮的手术选择中,传统的痔切除术现在与吻合器痔上黏膜环切术竞争,后者疼痛较轻,康复期较短,但可能复发率较高,需要进一步的长期评估。

相似文献

1
[Haemorrhoidal suffering].[痔疮病痛]
Urologe A. 2007 Mar;46(3):W303-14; quiz W315. doi: 10.1007/s00120-006-1281-6.
2
Septic complications after treatment of haemorrhoids.
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3
Long-term results after stapled haemorrhoidopexy for fourth-degree haemorrhoids: a prospective study with median follow-up of 6 years.吻合器痔上黏膜环切术治疗Ⅳ度痔的长期疗效:一项中位随访6年的前瞻性研究
Tech Coloproctol. 2007 Jun;11(2):144-7; discussion 147-8. doi: 10.1007/s10151-007-0344-z. Epub 2007 May 25.
4
Stapled haemorrhoidopexy versus Ferguson haemorrhoidectomy: a prospective study with 2-year postoperative follow-up.吻合器痔上黏膜环切术与弗格森痔切除术:一项术后2年随访的前瞻性研究。
J Int Med Res. 2007 Nov-Dec;35(6):917-21. doi: 10.1177/147323000703500622.
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Conventional haemorrhoidectomy, stapled haemorrhoidectomy, Doppler guided haemorrhoidectomy artery ligation; post operative pain and anorectal manometric assessment.传统痔切除术、吻合器痔上黏膜环切术、多普勒引导下痔动脉结扎术;术后疼痛及肛门直肠压力测定评估。
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Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy.吻合器痔上黏膜环切术与传统电凝痔切除术的随机临床试验。
Br J Surg. 2002 Nov;89(11):1376-81. doi: 10.1046/j.1365-2168.2002.02237.x.
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Outcome of the rubber band ligation with Milligan Morgan haemorrhoidectomy.橡皮圈套扎术联合Milligan Morgan痔切除术的疗效
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Modified stapled haemorrhoidectomy: a suggested improved technique.改良吻合器痔切除术:一种建议的改进技术。
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Ned Tijdschr Geneeskd. 2010;154:A787.

本文引用的文献

1
Rubber-band ligation for hemorrhoids in a colorectal unit. A prospective study.结直肠科采用橡皮圈套扎法治疗痔疮的前瞻性研究。
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Practice parameters for the management of hemorrhoids (revised).痔管理的实践参数(修订版)
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3
Randomized controlled trial to compare the early and mid-term results of stapled versus open hemorrhoidectomy.比较吻合器痔切除术与开放式痔切除术早期和中期结果的随机对照试验
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Open vs. closed hemorrhoidectomy.开放式与闭合式痔切除术
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5
Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials.吻合器痔上黏膜环切术与传统痔切除术的比较:随机对照试验的系统评价
Dis Colon Rectum. 2004 Nov;47(11):1837-45. doi: 10.1007/s10350-004-0679-8.
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[Functional anatomy of rectum and anus].
Hautarzt. 2004 Mar;55(3):233-9. doi: 10.1007/s00105-004-0689-4.
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The superior rectal artery and its branching pattern with regard to its clinical influence on ligation techniques for internal hemorrhoids.直肠上动脉及其分支模式对内痔结扎术的临床影响。
Am J Surg. 2004 Jan;187(1):102-8. doi: 10.1016/j.amjsurg.2002.11.003.
8
Randomised controlled clinical trial of stapled haemorrhoidectomy vs conventional haemorrhoidectomy; a three and a half year follow up.吻合器痔切除术与传统痔切除术的随机对照临床试验;三年半随访
Colorectal Dis. 2004 Jan;6(1):37-8. doi: 10.1111/j.1463-1318.2004.00496.x.
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Office ligation treatment of hemorrhoids.
Dis Colon Rectum. 1963 Mar-Apr;6:109-13. doi: 10.1007/BF02633461.
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Closed hemorrhoidectomy.闭合式痔切除术
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