Nahas S C, Sobrado Júnior C W, Araujo S E, Imperiale A R, Habr-Gama A, Pinotti H W
Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1997 Jul-Aug;52(4):175-9.
Despite feared by patients and reserved for the minority of patients suffering from hemorrohoids, hemorrhoidectomy remains as the most effective approach to this condition. To analyse results from 475 hemorrhoidectomies performed at University of São Paulo Hospital das Clínicas between 1984 and 1995, a retrospective chart review regarding gender, age, associated anorectal conditions, surgical technique, complications and their management and follow-up was addressed. Two hundred and seven (43.6%) were male. Age between fourth and sixth decades were observed for 70.8%. Associated anorectal conditions were diagnosed in 18.9%. Chronic anal fissure was the commonest one. Milligan-Morgan operation was performed in the majority of patients (91.2%) and Ferguson technique in 6.7%. There were no intraoperative complications postoperative complications occurred in 38 (8%) patients regardless of employed surgical technique. Urinary retention was the commonest postoperative complication. Mean follow-up was 5.8 years for 70% of patients. Surgical hemorrhoidectomy remains as a treatment with excellent results in the management of hemorrhoid disease for selected patients. Produces erradications of the disease in all cases in spite of low morbidity.
尽管痔疮切除术令患者恐惧，且仅适用于少数痔疮患者，但它仍是治疗这种疾病最有效的方法。为分析1984年至1995年间在圣保罗大学临床医院进行的475例痔疮切除术的结果，我们对患者的性别、年龄、相关肛肠疾病、手术技术、并发症及其处理和随访情况进行了回顾性病历审查。其中男性207例（43.6%）。70.8%的患者年龄在40至60岁之间。18.9%的患者被诊断出患有相关肛肠疾病。慢性肛裂是最常见的一种。大多数患者（91.2%）接受了Milligan-Morgan手术，6.7%的患者接受了Ferguson手术。术中无并发症发生，无论采用何种手术技术，38例（8%）患者术后出现并发症。尿潴留是最常见的术后并发症。70%的患者平均随访时间为5.8年。对于选定的患者，手术痔疮切除术在治疗痔疮疾病方面仍然是一种效果极佳的治疗方法。尽管发病率较低，但在所有病例中都能根除疾病。
