Zagriadskiĭ E A
Khirurgiia (Mosk). 2013(4):59-64.
Transanal Doppler-guided artery ligation of the terminal branches of the superior hemorrhoidal artery, combined with transanal rectal mucopexy (TRM) is a novel minimally invasive technique for the treatment of symptomatic hemorrhoids stage III and IV. Because of its novelty, the effectiveness of the technique still has not been properly assessed. The study aimed to describe the author's experience in using the method in 180 patients (128 men, 52 women; mean age 43.8±9.13 years), of the 26 patients had previously been operated on. The mean follow-up time was 42 months (36-60). Bleeding resolved in 161 (90.4%) and prolapse disappeared in 160 (88.9%) patients within 40 months after the operation. Thus, transanal Doppler-guided hemorrhoidal artery ligation with transanal rectal mucopexy should be considered as an effective option for the treatment of hemorrhoids stage III-IV.
经肛门多普勒引导下痔上动脉终末支结扎术联合经肛门直肠黏膜固定术（TRM）是一种治疗Ⅲ、Ⅳ期有症状痔的新型微创技术。由于其新颖性，该技术的有效性尚未得到恰当评估。本研究旨在描述作者对180例患者（128例男性，52例女性；平均年龄43.8±9.13岁）使用该方法的经验，其中26例患者曾接受过手术。平均随访时间为42个月（36 - 60个月）。术后40个月内，161例（90.4%）患者出血症状缓解，160例（88.9%）患者脱垂消失。因此，经肛门多普勒引导下痔动脉结扎联合经肛门直肠黏膜固定术应被视为治疗Ⅲ - Ⅳ期痔的有效选择。
