文献类型：期刊文献

中文题名：痔病的手术方式及优缺点分析

英文题名：Analysis of surgical approaches for hemorrhoidal disease:advantages and disadvantages

作者：张学东[1,3];李发馨[1,3];庞淅文[1,3];张迪[1,3];王春霞[1,3];陈一锋[2,3];王帅[2,3];张维胜[2,3];王涛[2,3]

第一作者：张学东

机构：[1]甘肃中医药大学第一临床医学院,甘肃兰州730000;[2]甘肃省人民医院肛肠科,甘肃兰州730000;[3]甘肃省肛肠疾病临床医学研究中心,甘肃兰州730000

第一机构：甘肃中医药大学临床医学院

年份：2025

卷号：31

期号：2

起止页码：100

中文期刊名：结直肠肛门外科

外文期刊名：Journal of Colorectal & Anal Surgery

基金：国家自然科学基金项目(82160522);甘肃省联合科研基金项目(23JRRA1540);兰州市科技人才创新项目(2023-QN-17);甘肃省人民医院院内基金(18GSSY5-16)。

语种：中文

中文关键词：痔;手术治疗;手术方式;疗效分析

外文关键词：hemorrhoids;surgical treatment;surgical approach;curative effect analysis

摘要：痔病是我国常见的肛肠科疾病,其发病率高,临床以便血、脱垂及肛门不适为主要症状,其中Ⅲ~Ⅳ度痔或保守治疗失败者需通过手术干预改善症状。本文系统梳理了痔病的流行病学特征、分类诊断标准及主流手术方式,结合国内外指南与循证证据,对比分析了传统痔切除术、吻合器痔固定术、经肛痔动脉结扎术、内镜下套扎术等术式的适应证、优缺点及并发症,并对新兴痔病术式列举分析,旨在为相关医务工作者提供更科学的术式选择。未来痔病治疗需平衡根治性与微创性,强化个体化精准医疗,推动国际标准化评估体系的建立,并通过多中心合作与技术创新降低术后复发及并发症风险,最终实现诊疗水平的全面提升。
Hemorrhoidal disease is a common anorectal disorder in China,with a high incidence rate.Its clinical manifestations include rectal bleeding,prolapse,and anal discomfort.Surgical intervention is required for gradeⅢ-Ⅳhemorrhoids or cases refractory to conservative treatment.This article systematically reviews the epidemiological features,classification diagnostic criteria,and mainstream surgical techniques for hemorrhoidal disease.Based on domestic and international guidelines and evidence,we compare the indications,advantages,limitations,and complications of conventional hemorrhoidectomy,stapled hemorrhoidopexy,transanal hemorrhoidal dearterialization,and endoscopic hemorrhoid ligation.Emerging surgical approaches are also analyzed.Our analysis aims to provide clinicians with more scientific surgical options.In the future,the treatment of hemorrhoids should balance radicality with minimally invasive principles,emphasize personalized precision therapy,establish standardized international evaluation systems,and reduce postoperative recurrence and complications through multicenter collaboration and technological innovation,ultimately improving overall clinical outcomes.