痔外剥内扎术后的解痉治疗  

Spasmolysis therapy after Milligan-Morgan haemorrhoidectomy

作　　者：邓志灏[1] 赵宝明[1] 

机构地区：[1]北京中医药大学东直门医院肛肠科,北京市100700

出　　处：《世界华人消化杂志》2013年第19期1828-1833,共6页World Chinese Journal of Digestology

基　　金：国家自然科学基金资助项目;No.81072812~~

摘　　要：疼痛是痔术后最常见的并发症,严重影响着患者的生活质量,成为痔患者恐惧手术的最大原因.而内括约肌的痉挛被认为是引起肛门疼痛的一个主要原因.故缓解内括约肌的痉挛被认为是止痛的有效方法.现在临床上经常应用的并取得满意疗效的解痉治疗方法有:手术治疗(如:内括约肌切开术)与药物治疗(如:肉毒毒素、硝酸甘油、钙离子通道阻滞剂).痔切除术后配合解痉治疗,能够显著减少术后并发症的发生,提高患者的满意度,改善患者术后的生活质量.Pain after hemorrhoid surgery is the most com- mon postoperative complication, significantly influencing patients＇ quality of life. Severe post- operative pain may still occur and continues to be the major concern of patients who are un- willing to undergo the surgery. Anal sphincter hypertonicity has been identified as a major in- fluencing factor for increased pain after surgery. Since persistent internal anal sphincter spasm is a major factor responsible for the genesis of pain, relieving internal anal sphincter spasm is considered to be an effective method to ease the pain. Currently, multiple treatments have been used to manage pain after haemorrhoidal surgery, including sphincterotomy, botulinum toxin, glyceryl trinitrate, and calcium channel blockers. Haemorrhoidectomy coupled with spasmolysis therapy can significantly reduce the incidence of postoperative complications andimprove the quality of life.

关 键 词：痔切除术 解痉治疗 括约肌切开 

分 类 号：R657.1[医药卫生—外科学]