摘要
痔是十分常见的肛肠疾病,好发于20~65岁的中青年人群,临床有出血、肿胀、脱出、疼痛、瘙痒和肛门不适等,且反复发作并逐渐加重,严重影响患者的生活质量。痔的治疗方法有保守、注射、套扎以及各种手术方式等,而痔的注射治疗已有150多年历史,因其操作简单、便于在基层单位推广应用,加之术中出血不多、并发症少和疗效可靠,得到临床医生广泛认可,患者依从性高。痔的注射治疗在国内外各治疗指南和共识中都有重要提及,但尚未有具体规范实施的标准供参考。由中国医师协会肛肠医师分会和中华医学会外科学分会结直肠外科学组牵头组织,邀请国内相关领域的部分专家,结合国内外最新循证医学证据,依据GRADE系统进行证据质量评估及推荐强度分级,尝试对目前国内外常用于痔注射治疗的制剂类型和使用方法形成《痔的注射治疗中国专家共识(2023版)》进行推荐,旨在为合理选择痔注射治疗的药物和剂型及其使用方法提供参考,从而提高痔注射治疗临床应用的有效性和安全性。
Hemorrhoids is a common anorectal disease,usually occurring in middle-aged people aged 25-65 years old,clinical bleeding,swelling,prolapse,pain,itching and anal discomfort,and repeatedly attacks and aggravated gradually,seriously affecting the quality of life of patients.The treatment of hemorrhoids includes conservative,injection,ligation,and various surgical procedures.Injection therapy with a history of more than 150 years is simple to operate,easy to popularize and apply in grass-roots units,causes less intraoperative bleeding and fewer complications,and has reliable efficacy.As a result,it is favored by clinicians and patients.The injection treatment of hemorrhoids has been mentioned in various hemorrhoid treatment guidelines and consensus at home and abroad,but there is no special expert consensus for reference.Led by the Anorectal Physicians Branch of the Chinese Medical Doctor Association and the Colorectal Surgery Group of the Surgery Branch of the Chinese Medical Association,experts in related fields in China were invited to review the latest evidence-based medical evidence at home and abroad and conducted evidence quality assessment and recommendation strength classification according to the GRADE system.This paper attempts to make detailed recommendations on the types and application methods of the preparations commonly used in the injection treatment of hemorrhoids at home and abroad,and form the Chinese Expert Consensus on the Treatment of hemorrhoids by anal injection(2023 edition),aiming to guide the reasonable selection of drugs and dosage forms for hemorrhoidal injection treatment,and to provide reference for standardizing the use of different drugs and dosage forms,so as to improve the effectiveness and safety of clinical application of hemorrhoidal injection treatment.
作者
中国医师协会肛肠医师分会
中华医学会外科学分会结直肠外科学组
高春芳
张忠涛
王永兵
丁海波
Anorectal Branch of Chinese Medical Doctor Association;Colorectal Surgery Group,Surgical Society of Chinese Medical Association;Gao Chunfang;Zhang Zhongtao;Wang Yongbing
出处
《中华胃肠外科杂志》
CSCD
北大核心
2023年第12期1103-1111,共9页
Chinese Journal of Gastrointestinal Surgery
关键词
痔
注射治疗
专家共识
Hemorrhoids
Injection
Expert consensus
