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[痔病的冷冻手术]

[Cryosurgery of hemorrhoid disease].

作者信息

Cavcić J

出版信息

Acta Chir Iugosl. 1980;27(1):55-63.

PMID:7405484
Abstract

The kriosurgery of hemorrhoidal diseases represents a modern method of treating hemorrhoids, a therapeutic application of low temperatures on the alive human tissue. The critical temperature for destroying tissues in -20 degrees C. If temperature is above this freezing it won't a pear. The author chose a series of 70 patients with hemorrhoids to be treated by kriohemorrhoidoctomy. As a means of refrigerating nitrogenous oxide was used while the operative intervention was made at an Outpatient Clinic. For internal hemorrhoids, freezing by kriosonda usually lasted from 1 to 3 minutes, while for the outer hemorrhoids freezing lasted more than 2 to 4 minutes. Postoperatively, 2 to 3 hours after freezing, the hemorrhoids swell and become red and a discharge appears which at the beginning is serosanguinolent but later it becomes purulent. The discharge lasts until 14 days, and then it gradually decreases. The final results after the kriosurgery of the hemorrhoids are anatomically equal to the results after the standard operative interventions, but the great priority of kriosurgery is that porbidity is reduced.

摘要

痔病的冷冻手术是一种治疗痔疮的现代方法,是低温在活体人体组织上的治疗应用。破坏组织的临界温度为零下20摄氏度。如果温度高于此冻结点则无效。作者选择了70例痔疮患者进行冷冻痔切除术治疗。在门诊进行手术干预时,使用一氧化二氮作为制冷手段。对于内痔,冷冻探头冷冻通常持续1至3分钟,而外痔冷冻持续超过2至4分钟。术后,冷冻后2至3小时,痔疮肿胀、变红并出现分泌物,开始时为浆液血性,但后来变为脓性。分泌物持续到14天,然后逐渐减少。痔疮冷冻手术后的最终结果在解剖学上与标准手术干预后的结果相同,但冷冻手术的一大优势是发病率降低。

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