Zacharakis E, Kanellos D, Pramateftakis M G, Kanellos I, Angelopoulos S, Mantzoros I, Betsis D
Fourth Academic Surgical Unit, Aristotle University of Thessaloniki, Thessaloniki, Makedonia, Greece.
Tech Coloproctol. 2007 Jun;11(2):144-7; discussion 147-8. doi: 10.1007/s10151-007-0344-z. Epub 2007 May 25.
The aim of our study was to assess our early and long-term results after stapled haemorrhoidopexy for fourth-degree haemorrhoids.
Our study covers the time period from 1998 to 2002 and consists of 56 consecutive patients (33 men) with fourthdegree haemorrhoids who underwent stapled haemorrhoidopexy.
During the postoperative period, 6 patients (10.7%) experienced pain for 7-14 days, which was treated with oral analgesia. Ten patients (17.8%) experienced gas incontinence and two of them also reported soiling. The incontinence subsided within 3-8 weeks. Median follow-up was 72.1 months (range, 55-86 months). Recurrence of the haemorrhoidal disease occurred in 33 patients (58.9%). The overall reintervention rate was 42.8%, as 24 patients required excisional haemorrhoidectomy by the Milligan-Morgan technique at a later stage.
Stapled haemorrhoidopexy seems to be a safe, low-pain but ineffective technique for the treatment of fourth-degree haemorrhoids, as it is accompanied by high recurrence and reintervention rates in the long term.
我们研究的目的是评估吻合器痔上黏膜环切术治疗Ⅳ度痔的早期和长期疗效。
我们的研究涵盖了1998年至2002年这段时间，包括56例连续接受吻合器痔上黏膜环切术治疗的Ⅳ度痔患者（33例男性）。
术后期间，6例患者（10.7%）经历了7至14天的疼痛，通过口服镇痛药治疗。10例患者（17.8%）出现气体失禁，其中2例还报告有粪便污染。失禁在3至8周内消退。中位随访时间为72.1个月（范围55至86个月）。33例患者（58.9%）出现痔病复发。总体再次干预率为42.8%，因为24例患者后期需要采用Milligan-Morgan技术进行痔切除术。
吻合器痔上黏膜环切术似乎是一种治疗Ⅳ度痔安全、低疼痛但无效的技术，因为从长期来看它伴随着高复发率和再次干预率。
