Cohen Z
Can J Surg. 1985 May;28(3):230-1.
Hemorrhoids are an extremely common affliction. The prevalence ranges from 1 in 25 to 1 in 30 individuals. There was a 20% decrease in the number of hemorrhoidectomies performed between 1978 and 1982. Alternatives to formal hemorrhoidectomy are injection sclerotherapy and rubber-band ligation. High-fibre diets and bulk laxatives are effective in relieving the symptoms of hemorrhoids, easing defecation and regulating bowel habit and can be used liberally. Bleeding hemorrhoids can be treated by diet alone, or by injection or rubber-band ligation. Prolapsing hemorrhoids are best treated by rubber-band ligation. The relatively few patients in whom these more conservative measures fail can be considered for hemorrhoidectomy.
痔疮是一种极为常见的疾病。其患病率在每25人中有1人至每30人中有1人之间。1978年至1982年间，痔切除术的数量减少了20%。正规痔切除术的替代方法有注射硬化疗法和橡皮圈套扎术。高纤维饮食和容积性泻药在缓解痔疮症状、促进排便及调节排便习惯方面有效，可以大量使用。出血性痔疮可仅通过饮食治疗，或通过注射或橡皮圈套扎术治疗。脱垂性痔疮最好通过橡皮圈套扎术治疗。对于这些较为保守的措施失败的相对少数患者，可考虑进行痔切除术。
