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在资源匮乏地区通过消融和矫正治疗巨大脱垂性痔。

Massive prolapsed haemorrhoids managed by ablation and correction in a poor resourced area.

作者信息

Weledji Elroy Patrick, Enow Orock George, Aminde Leopold

机构信息

Department of Surgery, Regional Hospital Buea, University of Buea, Buea, Cameroon

Faculty of Health Sciences, Department of Histopathology, Regional Hospital Buea, University of Buea, Buea, Cameroon.

出版信息

J Surg Case Rep. 2013 Nov 4;2013(11):rjt094. doi: 10.1093/jscr/rjt094.

DOI:10.1093/jscr/rjt094
PMID:24968428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3852857/
Abstract

More recently some patients with rectal mucosal prolapse and obstructive defaecation have been treated with the procedure for prolapse and haemorrhoids. We report a case of symptomatic chronic circumferentially prolapsed haemorrhoids that had several failed attempts at surgical repair. This was finally managed by ablation and correction of the associated rectal mucosal prolapse by a modified 'Delorme's procedure akin to a stapled anopexy.

摘要

最近，一些直肠黏膜脱垂和排便梗阻的患者接受了痔上黏膜环切术治疗。我们报告一例有症状的慢性环状脱垂性痔患者，该患者曾多次手术修复失败。最终通过改良的“德洛姆手术”（类似于吻合器固定术）切除并矫正相关的直肠黏膜脱垂来进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/b9b297d56d51/rjt09404.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/0df7a42915e7/rjt09401.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/b7a736d7e766/rjt09402.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/2483f4c6d573/rjt09403.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/b9b297d56d51/rjt09404.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/0df7a42915e7/rjt09401.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/b7a736d7e766/rjt09402.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/2483f4c6d573/rjt09403.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e4/3852857/b9b297d56d51/rjt09404.jpg

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Massive prolapsed haemorrhoids managed by ablation and correction in a poor resourced area.在资源匮乏地区通过消融和矫正治疗巨大脱垂性痔。
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本文引用的文献

1
Stapled versus conventional surgery for hemorrhoids.吻合器痔上黏膜环切术与传统手术治疗痔疮的对比
Cochrane Database Syst Rev. 2006 Oct 18;2006(4):CD005393. doi: 10.1002/14651858.CD005393.pub2.
2
Circumferential mucosectomy with stapled proctopexy is a safe, effective outpatient alternative for the treatment of symptomatic prolapsing hemorrhoids in the elderly.环形黏膜切除术联合吻合器直肠固定术是治疗老年有症状脱垂性痔的一种安全、有效的门诊替代治疗方法。
Surg Endosc. 2003 Dec;17(12):1990-5. doi: 10.1007/s00464-003-8151-8. Epub 2003 Oct 23.
3
Stapled mucosectomy for acute thrombosed circumferentially prolapsed piles: a prospective randomized comparison with conventional haemorrhoidectomy.
吻合器黏膜切除术治疗急性环状脱垂性血栓性痔：与传统痔切除术的前瞻性随机对照研究
Colorectal Dis. 2001 May;3(3):175-8. doi: 10.1046/j.1463-1318.2001.00224.x.
4
Modified stapled haemorrhoidopexy for the treatment of massive circumferentially prolapsing piles.改良吻合器痔上黏膜环切术治疗重度环状痔脱垂
Tech Coloproctol. 2002 Dec;6(3):191-3. doi: 10.1007/s101510200042.
5
Surgery for haemorrhoids: ablation or correction.痔疮手术：消融还是矫正。
Asian J Surg. 2002 Oct;25(4):265-6. doi: 10.1016/S1015-9584(09)60189-5.
6
Initial experience with stapled anoplasty in the operative management of prolapsing hemorrhoids and mucosal rectal prolapse.吻合器肛门成形术治疗内痔脱垂和直肠黏膜脱垂的初步经验。
Am J Surg. 2002 May;183(5):519-24. doi: 10.1016/s0002-9610(02)00842-5.
7
Stapled anopexy and stapled hemorrhoidectomy: two opposite concepts and procedures.
Dis Colon Rectum. 2002 Apr;45(4):571-2; author reply 572. doi: 10.1007/s10350-004-6242-9.
8
Results of Delorme's procedure for rectal prolapse.直肠脱垂的德洛姆手术结果。
Dis Colon Rectum. 1994 May;37(5):456-60. doi: 10.1007/BF02076191.