摘要
痔病是一种常见的良性肛门疾病,发病机制复杂,治疗效果欠佳,且容易复发,究其原因是痔病和盆底疾病具有关联性,使得其症状表现与体征不符合。痔病可能是盆底疾病的一种表现形式,盆底整体理论动态力学关系更加契合痔病临床,也对痔病诊疗提出更高水准的要求——既要关注形态结构的修复,更要关注功能的恢复。笔者所在单位从“整体观”角度出发,不仅关注痔病本身,更重视对躯体症状障碍的评估与治疗,将盆底整体理论贯穿于治疗的全过程,不可“见痔就治”;对于伴有盆底功能障碍性痔病患者,重视患者心理状态及盆底功能的修复(心身同治);通过术前、术中、术后全方位评估治疗,提高患者的生活质量。
Hemorrhoids disease is a common benign anal disease with complex pathogenesis,poor therapeutic effect and easy recurrence.The reason is that hemorrhoids are related to pelvic floor diseases,which makes the symptoms and signs of hemorrhoids inconsistent.Hemorrhoids may be a form of pelvic floor diseases.The overall theoretical dynamic mechanical relationship of pelvic floor is more consistent with the clinical diagnosis and treatment of hemorrhoids,and higher requirements are put forward for the diagnosis and treatment of hemorrhoids:attention should be paid to both the repair of shape and structure and the repair of function.From the perspective of"holistic view",our center not only pays attention to hemorrhoids itself,but also pays more attention to the evaluation and treatment of physical symptom disorders.The intergal theory of pelvic floor runs through the whole process of treatment,and it is not suggested to"treat hemorrhoids as soon as they are found";For hemorrhoids patients with pelvic floor dysfunction,attention should be paid to the repair of patients'psychological state and pelvic floor function(psychosomatic treatment).The quality of life of patients can be improved by all-round preoperative,intraoperative and postoperative evaluation and treatment.
作者
李欣雨
赵治峰
张凯
刘丽娜
贺焕
赵青川
李肖亮
LI Xin-yu;ZHAO Zhi-feng;ZHANG Kai;LIU Li-na;HE Huan;ZHAO Qing-chuan;LI Xiao-liang(Department of Neurogastroenterology and Pelvic Floor Surgery,Xi'an International Medical Center Hospital,Xi'an 710000,China;Department of Digestive Surgery,The First Affiliated Hospital of Air Force Medical University,Xi'an 710000,China)
出处
《中国实用妇科与产科杂志》
北大核心
2025年第5期512-517,共6页
Chinese Journal of Practical Gynecology and Obstetrics
基金
西安市创新能力强基计划—医学研究项目(21YXYJ0135)
西安市卫生健康委一般研究项目(2023yb53)。
