吻合器痔上黏膜环切术联合多普勒超声引导痔动脉结扎术治疗混合痔的临床研究被引量：26

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摘要混合痔是痔的主要类型,常伴有出血、脱垂等症状。目前临床治疗中重度混合痔最为常用方法是吻合器痔上黏膜环切术(procedure for prolapse and hemorrhoids,PPH),该手术有成功率高、易操作、治疗效果好等优势,但是对于患者的创伤比较大,术后并发症比较多。现代研究表明,混合痔的治疗要求是减轻或消除症状,缓解病理生理性的改变,而不是根治已经发生病理改变的肛垫[1]。超声引导下痔动脉结扎术(doppler guided hemorrhoid artery ligation,DG HAL)是临床上治疗痔疮的新型微创治疗方法。该手术过程配有肛门镜和超声多普勒探头,在多普勒超声指引下找到痔动脉,对其进行缝合或结扎,阻断血液流动,进而降低痔体内压;该技术是集超声波探查、缝扎手术为一体的新的诊疗技术,可以有效地止血、萎缩痔体[2]。本文探讨了PPH联合DG HAL治疗混合痔的临床效果,旨在为混合痔的治疗提供更多方案。

作者信学礼宋德余赵斌姚红亮王成君刘佳

机构地区哈励逊国际和平医院普外二科

出处《海军医学杂志》 2020年第1期89-91,共3页 Journal of Navy Medicine

基金 2016年河北省科技计划项目(162777272)

关键词吻合器上黏膜环切术多普勒超声混合痔

分类号 R657.18 [医药卫生—外科学]

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参考文献3

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