结直肠肛门外科2024,Vol.30Issue(1) :107-112.DOI:10.19668/j.cnki.issn1674-0491.2024.01.021

消融疗法在痔病中的应用进展

Progress in the application of ablation therapy in the treatment of hemorrhoids

吕亚 张雨韵 秦家麟 李志成 金磊 吴炯
结直肠肛门外科2024,Vol.30Issue(1) :107-112.DOI:10.19668/j.cnki.issn1674-0491.2024.01.021

消融疗法在痔病中的应用进展

Progress in the application of ablation therapy in the treatment of hemorrhoids

吕亚 1张雨韵 1秦家麟 1李志成 1金磊 1吴炯1
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作者信息

  • 1. 上海中医药大学附属岳阳中西医结合医院肛肠科 上海 200437
  • 折叠

摘要

痔病的发病率较高,传统痔病手术存在术后疼痛明显、并发症较多、患者生活质量下降及术后恢复时间长的弊端.疗效确切、并发症少的痔病治疗手段一直是国内外肛肠医师不懈的追求.随着医疗科技的发展,微创消融技术在痔病治疗中获得肯定价值.痔病"肛垫学说"理论受到越来越多业内人士认可,非切除性激光、射频、化学消融治疗近年来在国内外肛肠界引发新浪潮.本文检索近年来国内外应用痔激光消融术(laser hemorrhoidoplasty procedure,LHP)、改良多普勒引导下痔激光手术(hemorrhoid laser procedure,HeLP)、射频消融术(radiofrequency ablation,RFA)、射频热凝术(radiofrequency thermocoagula-tion,RFT)、中药制剂及西药硬化剂治疗痔病的文献报道,总结了不同应用技术的优势及不足之处,为临床医师选择合适的痔病手术治疗方案提供参考.

Abstract

The incidence of hemorrhoids is relatively high,and traditional surgical methods for hemorrhoids have disad-vantages such as significant postoperative pain,high complication rates,decreased quality of life for patients,and pro-longed recovery time.The pursuit of effective and complication-free treatment methods for hemorrhoids has been a con-tinuous effort for colorectal surgeons both domestically and internationally.With the development of medical technology,minimally invasive ablation techniques have gained recognized value in the treatment of hemorrhoids.The theory of"anal cushion"for hemorrhoids is increasingly recognized by industry insiders,and non-ablative laser,radiofrequency,and chemical ablation therapies have sparked a new wave in the domestic and international colorectal community in recent years.This article searched for recent literature reports in the domestic and international on the application of laser hemorrhoidoplasty procedure(LHP),modified Doppler-guided hemorrhoids laser procedure(HeLP),radiofrequency abla-tion(RFA),radiofrequency thermocoagulation(RFT),traditional Chinese medicine preparations,and western medicine scle-rosing agents in the treatment of hemorrhoids.It summarizes the advantages and disadvantages of different application techniques,providing a reference for clinicians to select appropriate surgical treatment options for hemorrhoids.

关键词

痔病/激光消融/射频消融/化学消融

Key words

hemorrhoids/laser ablation/radiofrequency ablation/chemical ablation

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基金项目

上海市科委科研项目(20Y21901200)

出版年

2024
结直肠肛门外科
广西医科大学

结直肠肛门外科

CSTPCD
影响因子:0.957
ISSN:1674-0491
参考文献量51
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