Nieves P M, Perez J, Suárez J A
Dis Colon Rectum. 1977 Apr;20(3):197-201. doi: 10.1007/BF02587177.
Eighty-five patients who had thrombosed hemorrhoids underwent emergency hemorrhoidectomy according to St. Mark's Hospital technique, with very good results. All specimens were found to have dilated blood vessels filled with thrombi of different sizes, with irregular, fibrotic or hyalinized vascular walls. Early complications included urinary retention and painful defecation in some patients. Late complications included only skin tags. No sepsis was found among our patients. Although operative bleeding can be tedious during the hemorrhoidectomy, it was a complication in the postoperative period of only one patient. Segmental, open hemorrhoidectomy performed according to the St. Mark's Hospital technique has been shown to be an ideal operation for the treatment of patients who have hemorrhoidal thrombosis, prolapse, edema, and bleeding.
85例血栓性痔患者按照圣马克医院技术接受了急诊痔切除术，效果非常好。所有标本均发现有扩张的血管，内充满大小不一的血栓，血管壁不规则、纤维化或玻璃样变。早期并发症包括部分患者出现尿潴留和排便疼痛。晚期并发症仅为皮赘。我们的患者中未发现脓毒症。虽然痔切除术中手术出血可能很麻烦，但术后只有1例患者出现此并发症。按照圣马克医院技术进行的分段开放式痔切除术已被证明是治疗有痔血栓形成、脱垂、水肿和出血患者的理想手术。
