结扎法治疗痔的研究进展

Research progress of ligation for hemorrhoids

痔是最常见的肛肠疾病,可分为内痔、外痔和混合痔。其治疗方法较多,保守治疗疗效局限,且主要适用于Ⅰ度和Ⅱ度的内痔,手术疗法是治疗痔的多数选择。结扎法应用于痔的治疗历史悠久,且疗效确切。作为痔治疗的经典治疗方法,基于结扎法所衍生出的各种改良术式也被广泛应用于临床。主要有外剥内扎术、分段结扎术、高悬低切术、自动痔疮套扎术(RPH)、多普勒超声定位下痔动脉结扎术及直肠上动脉栓塞术等,现将其近年来的进展综述如下。

Hemorrhoids is the most common anorectal disease,it can be divided into internal hemorrhoids,external hemorrhoids and mixed hemorrhoids.There are many treatment methods for hemorrhoids.It’s limited to use conservative treatment and mainly applies toⅠdegree andⅡdegree internal hemorrhoids.So surgical treatment is the majority of choice for hemorrhoids.Ligation has a long history in the treatment of hemorrhoids,and the efficacy of accurate.Many improved techniques derived from ligation,as a classical treatment method of hemorrhoids,are also widely used in clinical practicearious.It mainly includes external stripping and internal ligation,segmented ligation,high hanging and low cutting,automatic ligation of hemorrhoids(RPH),ligasure hemorrhoidectomy under doppler ultrasound localization,superior rectal artery embolization,etc.Its progress in recent years is summarized as follows.