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我科四年来,采用结扎疗法直肠低位单纯蒂型息肉共计40例,现初步总结报导如下,以供参考。治疗方法:除病变部位较深不能自然脱出肛外者,须局麻后扩开肛道进行结扎;自能脱出者,不必消毒麻醉,可令助手取组织钳轻轻挟住息肉中部并向外轻轻牵拉,使蒂部稍加暴露,即可结扎,剪除扎线余端,将息肉轻轻纳回肛内。次日应行肛镜检查,或合患者大便使息肉脱出,直接观察其外貌。若扎线松紧适度,则息肉即呈现紫褐或暗褐色,且体积缩小,一般表面无溃烂现象。2-3日后,枯死组织脱落,创面迅速愈合。否则,扎线太松,不易阻断血循环,使息肉枯死脱落;扎线太紧,易将蒂部勒断,有出血的可能。由于息肉蒂部较细,脱落后其创面常不明显,故结扎或脱落后一般肛道内不必涂药。术前后饮食、
Our department for four years, the use of ligation therapy simple pedicle polyps low total of 40 cases, are now summarized as follows, for reference. Treatment: In addition to the lesion deep prolapse can not be spontaneous outside the body, to local anesthesia to expand the anus after the ligation; since those who can be prolapsed, do not have to disinfect anesthesia, can help take the clamp forceps gently pinch the middle of the polyp and outward Gently pull the pedicle slightly exposed, you can ligation, cut off the nails and gently close the polyps back to the anus. The next day should be anal microscopy, or patients with stool polyps prolapse, the direct observation of its appearance. If the cable tension is moderate, then the polyp appears purple brown or dark brown, and the volume decreases, the general surface without ulceration. 2-3 days later, dead tissue shedding, the wound quickly healed. Otherwise, the tie is too loose, not easy to block the blood circulation, so that the polyp die off; tie line is too tight, easy to pedicle pedicle, there may be bleeding. Due to polyps pedicle thin, off the wound is often not obvious, so the general ligation or off the anal tract do not have to apply medicine. Preoperative and postoperative diet,