悬吊术治疗重度混合痔的研究进展  

Progress of suspension in the treatment of severe mixed hemorrhoids

作　　者：马钰婷 郭修田[1] Ma Yuting;Guo Xiutian(Anorectal Department,Shanghai Municipal Hospital of Traditional Chinese Medicine Affliate TCM University,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院肛肠科,上海200071

出　　处：《国际外科学杂志》2023年第1期55-60,共6页International Journal of Surgery

基　　金：国家自然科学基金面上项目(81873308);上海市卫生健康委员会科研项目(202140158);上海市进一步加快中医药传承创新发展三年行动计划——第二批中医专科(专病)联盟建设项目;上海市进一步加快中医药传承创新发展三年行动计划——中医非药物疗法示范中心建设项目(ZY(2021-2023)-0204);上海中医药大学产业发展中心医养结合科创项目(YYKZ-2021-01-140);上海市中医医院未来计划传承项目(WLJH2021ZY-GZS003)。

摘　　要：重度混合痔的发病率逐年上升,其手术方式一直是肛肠科研究的重点。肛垫悬吊术依据"肛垫下移学说",将痔核和齿状线以上的黏膜缝扎、结扎或套扎,使脱垂的肛垫上移复位,既保证了手术治疗的效果,又能够最精细的保护肛管、肛门的结构和功能,符合重度混合痔的微创治疗思想,逐渐广泛应用于临床。肛垫悬吊术作为一种新的术式应用于重度混合痔,尤其在重度脱垂性痔手术中具有独特优势。本文将通过分析近年来肛垫悬吊术联合吻合器痔上黏膜环切术、外剥内扎术、痔动脉结扎术、自动痔疮套扎术、硬化剂注射术、激光消融术及多项术式的手术操作要点,以期为临床医师手术治疗重度混合痔提供参考。The incidence of severe mixed hemorrhoids is increasing year by year,and its surgical method has always been the focus in the study of anoenterology.On the basis of anal cushion downward movement theory,anal cushion suspension surgery moves up prolapsed anal cushion by suturing or ligating the mucosa above the dentate line.This not only ensures the effect of surgical treatment,but also protects the structure and function of the canal and anus in the most fine,which is in line with the minimally invasive treatment idea of severe mixed hemorrhoids,and is gradually widely used in clinical practice.As a new surgical method,anal cushion suspension surgery has unique advantages in treating severe mixed hemorrhoids,especially in severe prolapsed hemorrhoids.This paper will analyse the key points of anal cushion suspension surgery combined with procedure for prolapse and hemorrhoids,milligan morgan,hemorrhoidal artery ligation,automatic ligation of hemorrhoids,injection sclerotherapy,laser ablation and mixed surgeries respectively,in order to provide reference for clinicians to operate on severe mixed hemorrhoids.

关 键 词：痔 研究 综述 悬吊术 重度混合痔 

分 类 号：R657.18[医药卫生—外科学]