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摘要:
Hemorrhoids are considered one of the most common anorectal diseases with a prevalence of 4.4%up to 36.4%of the general population,and a peak incidence between 45 and 65 years.Hemorrhoidal disease presents with a prolapsed lump,painless bleeding,discomfort,discharge,hygiene problems,soiling,and pruritus.Sliding anal canal lining theory is the most accepted theory as a cause of hemorrhoidal disease;however,it is also associated with hyper-vascularity,and,recently,with several enzymes or mediators involved in the disintegration of the tissues supporting the anal cushions,such as matrix metalloproteinase.A comprehensive search in published English-language literature till 2013 involving hemorrhoids was performed to construct this review article,which discusses advances in the management of hemorrhoids.This includes conservative treatment(life style modification,oral medications,and topical treatment),office procedures(rubber band ligation,injection sclerotherapy,infrared and radiofrequency coagulation,bipolar diathermy and direct-current electrotherapy,cryosurgery,and laser therapy),as well as surgical procedures including diathermy hemorrhoidectomy,LigaSure hemorrhoidectomy,Harmonic scalpel hemorrhoidectomy,hemorrhoidal artery ligation,stapled hemorrhoidopexy(SH),and double SH.Results,merits and demerits of the different modalities of treatment of hemorrhoids are presented,in addition to the cost of the recent innovations.
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篇名 Recent advances in the management of hemorrhoids
来源期刊 世界外科手术杂志 学科 医学
关键词 HEMORRHOIDS Rubber band Infrared PHOTOCOAGULATION CRYOSURGERY LIGASURE HARMONIC Anopexy Hemorrhoidal artery LIGATION Stapled hemorrhoidopexy
年,卷(期) 2014,(3) 所属期刊栏目
研究方向 页码范围 55-65
页数 11页 分类号 R
字数 语种
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研究主题发展历程
节点文献
HEMORRHOIDS
Rubber
band
Infrared
PHOTOCOAGULATION
CRYOSURGERY
LIGASURE
HARMONIC
Anopexy
Hemorrhoidal
artery
LIGATION
Stapled
hemorrhoidopexy
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界外科手术杂志
不定期
2219-2832
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
61
总下载数(次)
0
总被引数(次)
0
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