各期内痔动脉血供特性的临床研究

doi:10.3969/j.issn.1009-976X.2024.01.010

岭南现代临床外科 ›› 2024, Vol. 24 ›› Issue (01): 65-68.DOI: 10.3969/j.issn.1009-976X.2024.01.010

各期内痔动脉血供特性的临床研究

吴海雄^*, 李强, 姚奇, 林丽芬

深圳市人民医院（暨南大学第二临床医学院,南方科技大学第一附属医院）肛肠外科,广东深圳 518020

通讯作者: *吴海雄,Email：137502633@qq.com

Clinical study on characterization of the arterial blood supply in patients with various grades of hemorrhoids

WU Hai-xiong, LI Qiang, YAO Qi, LIN Li-fen

Department of Anal and Intestinal Surgery, Shenzhen People′s Hospital （The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology）, Shenzhen, Guangdong 518020, China

Received:2023-11-16 Online:2024-02-20 Published:2024-05-22

摘要/Abstract

摘要： 目的研究各期内痔动脉血供特点。方法采用经会阴多普勒超声分别对80例不同分度内痔患者（观察组）和20例志愿者（对照组）的痔供血动脉的血流量、管径大小进行检测。结果通过经会阴彩色多普勒超声手段,80例Goligher分度Ⅰ~Ⅳ度痔疮患者与20名健康志愿者进行比较。观察组痔疮动脉供血分支的平均管径为1.90±0.85 mm;明显大于对照组0.97±0.24 mm,差异有统计学意义（P<0.001）。观察组痔疮供血动脉血流47.3±28.3 cm/s明显高于对照组15.6±5.0 cm/s,两组间差异具有统计学意义（P<0.01）。结论痔疮供血动脉管径和血流与内痔病情程度呈正相关。经会阴彩色多普勒超声有望成为内痔患者合理选择治疗方式的一种检测手段。

关键词: 内痔, 经会阴多普勒超声, 供血动脉血流, 管径

Abstract: Objective To study the characterization of arterial blood supply in patients of the internal hemorrhoidals. Methods The caliber and flow of arterial blood supply in 80 patients with hemorrhoids of Goligher grades Ⅰ~Ⅳ and 20 healthy volunteers were examined by means of transperineal color Doppler ultrasound. Results Eighty patients with hemorrhoids of Goligher grades Ⅰ-Ⅳ were compared with 20 healthy volunteers by means of transperineal color Doppler ultrasound. The mean caliber of the arterial branches in the study group with hemorrhoids was 1.90±0.85 mm and 0.97±0.24 mm in the control group （P<0.001）. The arterial blood flow was significantly higher in patients with hemorrhoids47.3±28.3 cm/s than in the control group 15.6±5.0 cm/s, P<0.01. Conclusion Our findings demonstrate that increased caliber and arterial blood flow are correlated with the severity of hemorrhoids. Transperineal color Doppler ultrasound hopefully providy an appropriate method to choose the treatment in patients with hemorrhoids.

Key words: hemorrhoids, transperineal color Doppler ultrasound, caliber, arterial blood flow

中图分类号:

R657.1

吴海雄, 李强, 姚奇, 林丽芬. 各期内痔动脉血供特性的临床研究[J]. 岭南现代临床外科, 2024, 24(01): 65-68.

WU Hai-xiong, LI Qiang, YAO Qi, LIN Li-fen. Clinical study on characterization of the arterial blood supply in patients with various grades of hemorrhoids[J]. Lingnan Modern Clinics In Surgery, 2024, 24(01): 65-68.

参考文献

[1] Pata F, Sgró A, Ferrara F, et al.Anatomy, Physiology and Pathophysiology of Haemorrhoids[J]. Rev Recent Clin Trials, 2021, 16(1): 75-80.
[2] 章立, 杨斌, 张育超, 等. 痔核上方直肠壁组织形态学研究.中华外科杂志, 2009, 47(12): 912-915.
[3] Sun WM, Peck RJ, Shorthouse AJ, Read NW.Haemorrhoids are associated not with hypertrophy of the internal anal sphincter, but with hypertension of the anal cushions[J]. Br J Surg, 1992, 79(6): 592-594.
[4] Aigner F, Bodner G, Gruber H, et al.The vascular nature of hemorrhoids[J]. J Gastrointest Surg, 2006,10(7):1044-1050.
[5] Ratto C, de Parades V. Doppler-guided ligation of hemorrhoidal arteries with mucopexy: A technique for the future[J]. J Visc Surg, 2015, 152(2 Suppl): S15-21.
[6] 马钰婷, 郭修田. 悬臂吊术治疗重度混合痔的研究进展[J].国际外科学杂志, 2023, 50(1): 55-60.
[7] Hada T, Sugita H, Yoshida F, et al.Investigating the Follow-up Period after ALTA Sclerotherapy Using Transanal Ultrasonography[J]. J Anus Rectum Colon. 2023, 7(2): 109-114.
[8] Talaie R, Torkian P, Moghadam AD, et al.Hemorrhoid embolization: A review of current evidences[J]. Diagn Interv Imaging, 2022, 103(1): 3-11.
[9] Sun WM, Peck RJ, Shorthouse AJ, Read NW.Haemorrhoids are associated not with hypertrophy of the internal anal sphincter, but with hypertension of the anal cushions[J]. Br J Surg, 1992, 79(6): 592-594.
[10] 胡婕, 周大成. 胶圈套扎联合痔动脉结扎术治疗出血性内痔伴出血倾向患者的疗效观察[J]. 结直肠肛门外科, 2019, 25(1): 83-86.
[11] 王柏雪, 张林. 痔术后出血136例临床分析[J].中国肛肠病杂志, 2018, 38(1): 23-25.
[12] 胡邦, 邹齐, 陆立, 等. 《中国痔病诊疗指南(2020)》解读及其与欧美指南的对比[J]. 中华结直肠疾病电子杂志, 2021, 10(6): 561-571.
[13] Miyamoto H, Asanoma M, Miyamoto H, et al.Visualization and hyper-vascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography[J]. Colorectal Dis, 2013, 15(11): e686-691.
[14] Wu L, Liu Y, Xu P, Yang M.Transperineal pelvic floor ultrasound in male[J]. Int Urol Nephrol, 2023, 55(12):,3261-3268.
[15] Aimaiti A, A Ba Bai Ke Re MMTJ, Ibrahim I, et al. Sonographic appearance of anal cushions of hemorrhoids[J]. World J Gastroenterol, 2017, 23(20): 3664-3674.

各期内痔动脉血供特性的临床研究

Clinical study on characterization of the arterial blood supply in patients with various grades of hemorrhoids

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

[1]	黎淑玲, 刘俊杰. 体表标记定位下内镜套扎治疗Ⅱ~Ⅲ度内痔的前瞻性研究[J]. 岭南现代临床外科, 2022, 22(02): 187-190.
[2]	侯辉余智涛王悦辉. 抗凝治疗的内痔患者行吻合器痔上黏膜环切术的治疗体会[J]. 岭南现代临床外科, 2014, 14(03): 317-320.