吻合器痔上黏膜环切术：使用的依据
Stapled hemorrhoidopexy: the argument for usage.
作者信息
Singer Marc, Abcarian Herand
机构信息
Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA.
出版信息
Clin Colon Rectal Surg. 2004 May;17(2):131-42. doi: 10.1055/s-2004-828660.
Abstract
Stapled hemorrhoidopexy is a new procedure for the treatment of symptomatic internal hemorrhoids. Experience and prospective trials are helping to define this procedure's role. Published data confirm that stapled hemorrhoidopexy offers similar control of symptoms with the benefits of reduced postoperative pain when compared with excisional techniques. Reduction in pain is the most significant benefit of this operation. Clearly, the cost of the stapling device exceeds the cost of the sutures required to perform an excisional hemorrhoidectomy. Patients should undergo medical therapy and rubber band ligation first; however, patients being considered for excisional hemorrhoidectomy should be offered stapled hemorrhoidectomy as a less painful alternative.
摘要
吻合器痔上黏膜环切术是一种治疗有症状内痔的新方法。经验和前瞻性试验有助于明确该手术的作用。已发表的数据证实，与切除技术相比，吻合器痔上黏膜环切术在控制症状方面效果相似，且具有术后疼痛减轻的优点。疼痛减轻是该手术最显著的益处。显然，吻合器的成本超过了进行切除痔切除术所需缝线的成本。患者应首先接受药物治疗和橡皮圈套扎术；然而，对于考虑进行切除痔切除术的患者，应提供吻合器痔上黏膜环切术作为一种疼痛较轻的替代方法。
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