Corno F, Muratore A, Mistrangelo M, Nigra I, Capuzzi P
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Torino.
Ann Ital Chir. 1995 Nov-Dec;66(6):813-6.
Hemorrhoidal disease is a common problem in a proctological ambulatory. Surgery is the best therapy for fourth degree hemorrhoids and the complication rate is 10-20%: postoperative urinary retention etiology is unknown but it may be caused by dysfunction of bladder muscles in response to pain and by an excessive perioperative somministration of fluids; delayed hemorrhage (i.e., 7-10 days postoperative) needs an inpatient care and the treatment ranges from bedside and packing to hemorrhoid pedicle suture ligation in the operating room. Anal stenosis is most commonly a result of a prior improper hemorrhoidectomy: it may be mild, moderate or severe; V-Y and C-anoplasty are the best therapy, also for ectropion. Rubber band Ligation and Sclerotherapy are the most common treatment of internal hemorrhoids: external hemorrhoid trombosis and delayed hemorrage are frequent complications.
痔病是直肠门诊常见的问题。手术是治疗Ⅳ度痔的最佳方法，并发症发生率为10% - 20%：术后尿潴留病因不明，但可能是膀胱肌肉因疼痛功能失调以及围手术期液体输入过多所致；延迟性出血（即术后7 - 10天）需要住院治疗，治疗方法从床边处理和填塞到在手术室进行痔蒂缝扎术。肛门狭窄最常见于既往不当的痔切除术：可轻、中、重度；V - Y和C形肛门成形术是最佳治疗方法，对肛门外翻也适用。橡皮圈套扎术和硬化疗法是内痔最常用的治疗方法：外痔血栓形成和延迟性出血是常见并发症。
