Hosking S W, Johnson A G
University Surgical Unit, Royal Hallamshire Hospital, Sheffield, England.
Surgery. 1988 Jul;104(1):70-3.
The management of 13 patients who had bleeding anorectal varices is described and compared with the 20 cases reported to date. The diagnostic procedure of choice is anorectoscopy. Treatment by an under-running suture achieved primary control of bleeding in all patients, and during a median follow-up of 7 months (range, 1 to 36), two early and one late episodes of rebleeding occurred. As all patients had varices in the anal canal with only occasional extension into the rectum, the term "anorectal varices" is to be preferred.
本文描述了13例直肠肛管静脉曲张出血患者的治疗情况，并与迄今报道的20例病例进行了比较。首选的诊断方法是肛门直肠镜检查。通过潜行缝合治疗使所有患者的出血得到初步控制，在中位随访7个月（范围1至36个月）期间，发生了2例早期再出血和1例晚期再出血。由于所有患者的静脉曲张均位于肛管，仅偶尔延伸至直肠，因此“直肠肛管静脉曲张”这一术语更为合适。
