Vanheuverzwyn R, Colin J F, Van Wymersch T, Kartheuser A, Hoang P
Service de Gastro-Entérologie, Cliniques Universitaires Saint Luc. Bruxelles.
Acta Gastroenterol Belg. 1995 Sep-Dec;58(5-6):452-64.
Correct definition of haemorrhoidal disease allows the estimation of the incidence and the therapeutic choices. The term "haemorrhoidal disease" should be used specifically for symptoms secondary to abnormalities of the intern haemorrhoidal plexus. The classification of severity is useful but difficult to apply to individual cases. The aetiopathogenesis remains unclear. Many arguments are in favour of a progressive degeneration of the fibromuscular structure of the internal haemorrhoidal plexus responsible for his prolapse in the anal canal. Most patients suffering from haemorrhoids are relieved by simple dietary advice. Moderate prolapsing haemorrhoids are significantly improved by rubber band ligation. Surgical haemorrhoidectomy remains the procedure of choice in patients with advanced prolapsing haemorrhoids.
痔病的正确定义有助于评估发病率和治疗选择。“痔病”一词应专门用于内痔丛异常继发的症状。严重程度分类虽有用，但难以应用于个别病例。其病因发病机制仍不清楚。许多观点支持内痔丛纤维肌肉结构的渐进性退变是导致其脱垂至肛管的原因。大多数痔疮患者通过简单的饮食建议即可缓解。中度脱垂性痔疮通过橡皮圈套扎术可得到显著改善。手术痔切除术仍是重度脱垂性痔疮患者的首选治疗方法。
