Pühse G, Raulf F
Klinik und Poliklinik für Urologie, Universitätsklinikum Münster, Albert-Schweitzer-Strasse 33, 48149, Münster, Deutschland.
Urologe A. 2007 Mar;46(3):W303-14; quiz W315. doi: 10.1007/s00120-006-1281-6.
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.
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。