肛肠科-痔疮肛瘘的诊断与治疗(国外英文资料).docVIP

肛肠科-痔疮肛瘘的诊断与治疗(国外英文资料) The diagnosis and treatment of anal rectal fistula hemorrhoids The classification and diagnosis of hemorrhoids Hemorrhoids are divided into internal hemorrhoids, hemorrhoids and mixed hemorrhoids. Internal hemorrhoid: it is the support structure of the anal pad, the vascular plexus, and the pathologic change and shift of the arterial venous anastomosis. The main clinical manifestations are bleeding and removal, which can be complicated by the complications of thrombosis, inlaying, narrowing and defecation. According to the symptoms of internal hemorrhoids, the severity of the disease was 4 degrees: Ⅰ degrees: with blood, the blood, then empress can stop bleeding; No hernia of hemorrhoids. Ⅱ degrees: often bloody; The hemorrhoid is out when the bowel is defecate, and then the toilet can return. Ⅲ degrees: bloody; If you have a long standing and a cough, tired and heavy load, you need to have your hands on your hands. Ⅳ degrees: bloody; The hemorrhoids continue to be undeveloped or unremaned. Is external piles, dentate line distal subcutaneous vascular plexus expansion, blood stasis, thrombosis or tissue hyperplasia, according to the pathological characteristics of organization, external piles can be divided into the connective tissue, blood clots, varicose veins and inflammatory external piles 4 class. The main clinical manifestations are the soft tissue mass of the anus, which has anal discomfort, wet itching or foreign body, such as thrombosis and inflammation can be painful. Mixed hemorrhoid: it is the fusion of the internal hemorrhoids and the external hemorrhoids of the corresponding parts. The main clinical manifestations are the symptoms of internal hemorrhoids and hemorrhoids at the same time. Examination of hemorrhoids Anal examination 2. Anal rectal examination 3. Rectal examination of the rectal examination. 5. Colonoscopy The treatment of hemorrhoids Treatment principle: unsymptomatic hemorrhoids need not be treated. The aim of the