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探讨环状混合痔的手术治疗方法。方法 :采用交叉排列结扎术并尽量保留肛管移行区(ATZ)治疗环状混合痔 ,选择 16例进行术式探讨及疗效观察。肛门麻醉后用胃幽门螺杆菌美蓝 [(HP) MB]染色液对肛缘至齿线上 5 .0 cm处染色 ,ATZ呈淡蓝色 ,直肠粘膜深蓝色 ,肛管皮肤不染色。对内外痔各分为3～ 5个部位交叉排列式贯穿结扎 ,结扎点在不同平面上 ,术中尽量保留淡蓝色的 ATZ,使痔结扎点之间保留的粘膜桥与皮桥呈网状。结果 :16例平均疗程 16 .5天 ,治愈率 10 0 %。无排便困难与肛门狭窄等后遗症。结论 :采用此术式治疗环状混合痔 ,能明确对 ATZ的保留程度 ,并可以避免手术并发症的发生。
To investigate the surgical treatment of ring mixed hemorrhoids. Methods: Twenty - five cases of ring mixed hemorrhoids were treated with cross - tie ligation and try to keep the anal canal transition zone (ATZ). Anus was stained with gastric H. pylori Methyl blue [(HP) MB] stain at a depth of 5.0 cm on the anal verge. ATZ was light blue and the rectal mucosa was dark blue. The anal canal skin was not stained. The internal and external hemorrhoids are divided into 3 to 5 parts of the cross-type arrangement throughout the ligation, ligation points in different planes, intraoperative try to retain the light blue ATZ, hemorrhoid ligation point between the retained mucosal and skin graft was reticular . Results: 16 cases averaged 16.5 days, the cure rate was 10%. No defecation and anal stenosis and other sequelae. Conclusion: This procedure for the treatment of ring mixed hemorrhoids, ATZ can clear the extent of retention, and to avoid the occurrence of surgical complications.