结直肠肛门外科2025，Vol.31Issue(2)：100-105,6.DOI:10.19668/j.cnki.issn1674-0491.2025.02.003
痔病的手术方式及优缺点分析
Analysis of surgical approaches for hemorrhoidal disease:advantages and disadvantages
摘要
Abstract
Hemorrhoidal disease is a common anorectal disorder in China,with a high incidence rate.Its clinical manifes-tations include rectal bleeding,prolapse,and anal discomfort.Surgical intervention is required for grade Ⅲ-Ⅳ hemor-rhoids or cases refractory to conservative treatment.This article systematically reviews the epidemiological features,classi-fication diagnostic criteria,and mainstream surgical techniques for hemorrhoidal disease.Based on domestic and interna-tional guidelines and evidence,we compare the indications,advantages,limitations,and complications of conventional hem-orrhoidectomy,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 op-tions.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 recur-rence and complications through multicenter collaboration and technological innovation,ultimately improving overall clini-cal outcomes.关键词
痔/手术治疗/手术方式/疗效分析Key words
hemorrhoids/surgical treatment/surgical approach/curative effect analysis分类
临床医学引用本文复制引用
张学东,李发馨,庞淅文,张迪,王春霞,陈一锋,王帅,张维胜,王涛..痔病的手术方式及优缺点分析[J].结直肠肛门外科,2025,31(2):100-105,6.基金项目
国家自然科学基金项目(82160522) （82160522）
甘肃省联合科研基金项目(23JRRA1540) （23JRRA1540）
兰州市科技人才创新项目(2023-QN-17) （2023-QN-17）
甘肃省人民医院院内基金(18GSSY5-16) （18GSSY5-16）
