山东支医专家在我院开展一系列肛肠疾病微创新技术
<p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">屁股“掉出”一坨肉</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">原因有可能是他</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">来看一个案例</span></p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">2023年10月20日，XX患者，1月前，肛门包块脱出加重，不能自行还纳，伴肿痛不适。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none;"/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">现病史：入院前10余年患者因进食麻辣后发现肛门包块脱出，能自行还纳，伴便时少量出血，色鲜红，为便纸带血，患者予“麝痔疮膏”治疗，及饮食改善后缓解。无畏寒发热，无潮热盜汗，无粘液脓血便，近期无明显体重减轻。<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">为求进一步治疗，遂来我院就诊，完善各项检查后，门诊以“环状混合痔、肛乳头肥大、肛裂”收住入院。</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none;"/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">10月21日，在山东支医专家的指导下行混合痔外剥内扎术+内痔注射术+肥大肛乳头切除术+肛裂切除术手术，术后一周患者出院。</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; font-weight: bolder !important;">肿物脱出有何种症状？</span></p><p><br/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">肛肠科门诊经常会遇到这样一类患者，他们是以<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">肛内肿物“脱出”</span>为主诉就诊，好多人为此感到恐慌，自以为是“脱肛”惹的祸。其实在临床上，有许多肛肠疾病都会引起肛内肿物“脱出”或出现在肛门口，在症状表现上一般分为两大类：<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">一类是</span>以Ⅲ—Ⅳ度内痔、完全性直肠脱垂为代表的经常性脱出，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">另一类则</span>是排便或者腹压增大时脱出，便后或者休息后可自行还纳，其中以Ⅱ度内痔、直肠下段息肉、肛乳头肥大等为代表。临床上通过脱出物的颜色、性状以及与排便的关系不难诊断。我们来浅析一下，哪些原因会引起这些症状。</p><p><br/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">屁股“掉出”一坨肉原因有很多</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">一起来看看</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">1.痔</p><p><br/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">痔是最常见的肛肠良性疾病，病人常伴有<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">便血、肛门瘙痒</span>等不适症状。痔的脱出特征为：<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">Ⅱ度内痔</span>排便时脱出，可自行回纳。<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">Ⅲ度内痔</span>排便时脱出，需要手法辅助回纳；<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">IV度内痔</span>长期在肛门外，不能回纳，通常并发外痔皮赘，形成混合痔。需要特别指出的：<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">血栓性外痔</span>作为常见的“脱出”型痔病，临床常以病人<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">自觉肛门肿胀、疼痛有异物感</span>为主诉，检查可见肛周或肛管皮下有<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">葡萄状暗紫色肿物</span>。</p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">2.肛裂</p><p><br/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">肛裂</span>常发生在前中或者后中位，患者常伴有周期性的疼痛及<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">大便带鲜血</span>，肛门部常见<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">袋状的皮垂脱出(前哨痔)和肛乳头肥大突出或脱出肛外</span>。肛裂即位于前哨痔的上方。通常轻轻向两侧翻开肛门皮肤或者嘱病人用力使肛管外翻,可以发现肛裂的下部甚至全部。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">3.肛乳头瘤</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">肥大肛乳头</span>(肛乳头纤维瘤)常在指诊时触及，其<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">形态各异</span>，有的细如长针，多数似柱状或乳头状，顶大蒂细，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">表面光滑，乳白色，不易出血，</span>有时增生变大的肛乳头也可脱出肛门外。常伴有<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">肛门不适，无压痛，</span>可以是一个，也可以是数个。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">4.直肠脱垂</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">直肠脱垂</span>的主要症状为<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">有肿物自肛门脱出</span>。初发时肿物较小，排便时脱出，便后自行复位。<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">以后肿物脱出渐频</span>，体积增大，便后需用手托回肛门内，伴有排便不尽和下坠感。<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">最后在咳嗽、用力甚至站立时亦可脱出。</span>直肠脱垂时，脱出物为<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">直肠</span>，有明显的放射状纵行沟纹或直肠环圈，色均匀，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">呈淡白或淡红色。</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">5.直肠息肉</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">直肠息肉</span>是指直肠壁突起的肿物，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">一般较软可单发或多发，</span>包括有腺瘤(其中有绒毛状腺瘤)，儿童型息肉、炎症息肉及息肉病等。较常见的是直肠腺瘤和幼年息肉。从病理上来看，其内容不一，有的是良性肿瘤,有的是炎症增生的后果。直肠下端的息肉可在<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">排便时脱出肛门外，呈鲜红色，樱桃状，便后自行回缩。</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">6.肛门部尖锐湿疣</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">尖锐湿疣</span>是较为常见的肛周性病病人常主诉肛门有肿物，伴有<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">分泌物、瘙痒、排便困难、肛门疼痛、里急后重和直肠出血</span>。病变主要表现为在肛管、肛周生殖器部位可见散在分布的小肿物、略微高起，粉色或灰色、伴有明显的增生。皮疹可以单发或多发，或彼此融合形成较大的肿物。肛管内皮疹一般仅限于鳞状上皮和移行带内，很少发展至直肠。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;">总结</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">直肠、肛管和肛门周围皮肤恶性肿瘤</span>也会出现肛门部肿物，总之除少数情况外，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">绝大多数肛门脱出物为良性疾病引起，</span>不要过于担心及焦虑，有诸如此类症状的患者应及时就诊，在完善相关检查，排除某些疾病后积极治疗，一般情况下预后较好。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">为方便广大肛肠患者就诊就医</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">山东省沂水县人民医院</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">肛肠科专家党发修坐诊我院</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">坐诊以来</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">已开展一系列微创新技术</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">给城口众多肛肠疾病患者</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">带来了实实在在的福音</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none;"/></p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">党发修</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">沂水县人民医院</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">肛肠科副主任</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">中华预防医学会肛肠病预防与控制专业委员会 委员</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">中国医药教育协会肛肠专业委员会 委员</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">山东省医师协会肛肠病学医师分会青年委员会 委员</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">临沂市中西医结合学会 委员</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">从事肛肠专业10余年，擅长肛肠科常见病、多发病的诊治，开展微创手术：TST、PPH、痔疮弹力线套扎术、安氏肛肠等，同时熟练掌握环状混合痔切除术、复杂性肛周脓肿根治术、高位复杂性肛瘘根治术、骶尾脓肿（骶尾窦道）根治术、小儿肛肠的诊疗。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">一、直肠后间隙脓肿微创小切口一次性根治术：</span>采用直肠后脓腔橡胶管旷置引流术+高位变低位内口挂线术+内口周围肛隐窝切除术。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none;"/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">直肠后间隙脓肿（高位脓肿）：</span>位于直肠后、骶骨前，多因肛门后深间隙脓肿向上扩散穿过肛提肌而形成，也有部分由肛腺感染扩散直接形成。临床症状与骨盆直肠窝脓肿相似，常有肛内重坠感，伴骶尾部钝痛，并向臀部放射，发热、周身不适等全身症状明显指诊时尾骨与肛门之间有深部的压痛，肛内指诊可触及直肠后壁肿块，有压痛和波动感。</p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding: 0px; margin: 0px; font-family: inherit; letter-spacing: 0.3px; font-size: 18px; color: rgb(24, 24, 24); line-height: 1.6em !important;">直肠后间隙脓肿微创小切口一次性根治术。</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">二、混合痔联合肛周湿疹一次性根治术：</span>混合痔切除术+肛周神经离断术+肛周封闭术，微创、无痛、瘙痒症状消失。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">混合痔：</span>在齿线附近，为皮肤黏膜交界组织覆盖，由内痔和外痔两部分组成，分别有内痔与外痔的两种特征。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">肛周湿疹：</span>肛周湿疹是肛肠科临床常见疾病，现代医学认为，其是一种非传染性过敏性炎症性皮肤病。病变多局限于肛门周围皮肤，局部可出现红疹、红斑、糜烂、渗出、结痂、脱屑等表现，分布对称，伴渗出瘙痒，皮损界限往往不清楚，病程较长，反复发作，发病日久可见肛周皮肤粗糙增厚，肛周皮肤可见皲裂口。任何年龄阶段均可发病。中医称为湿疡症、浸淫疮、血风疮。</p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">混合痔联合肛周湿疹一次性根治术。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(255, 138, 0); font-weight: bolder !important;">三、RPH（痔疮弹力线套扎术）</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">主要针对内痔出血、二三期内痔、混合痔等患者，主要特点：微创、无痛、无出血、无切口、恢复快等特点。</p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">RPH（痔疮弹力线套扎术）。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0px !important; line-height: 1.6em !important;">葛城街道社区卫生服务中心肛肠科医生提醒您，出现肛门及肛门周边的疼痛肿胀症状需要仔细鉴别，当无法判断或用药不缓解时需及时寻求专业医生的帮助。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">科室名片：肛肠科</span></p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">杨继兵</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">中医主治医师</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">全科医师</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">先后在城口县人民医院、重庆建设医院、巴南人民医院肛肠外科主攻肛肠外科手术，能够单独完成肛肠科TST直肠粘膜选择性环切术，传统内剥外扎手术、肛瘘切除术，肛周脓肿一次性根治术，肛裂切除术。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">咨询电话：杨医生；17338681899</p><p></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0px !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">简礼平</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; text-align: center; padding-top: 0.18rem !important; line-height: 1.6em !important;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">执业医师</span></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">曾在重庆医科大学附属巴南医院进修学习。擅长运用RPH等微创技术治疗内外痔、肛瘘、肛裂、肛周脓肿、肛门狭窄、肛乳头瘤、溃疡性结肠炎等肛肠疾病。针对女性肛肠疾病有独特的治疗方法，对肛肠疾病的诊治有丰富的经验。</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">联系电话：简医生；18875397325</p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none;"/></p><p class="ql-block" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 0px; margin-bottom: 0px; font-family: inherit; letter-spacing: 0.3px; padding-top: 0.18rem !important; line-height: 1.6em !important;">肛肠科是中心重点科室。在中医整体观念的指导下，<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); box-sizing: border-box; outline: none; margin: 0px; padding: 0px; color: rgb(22, 126, 251); font-weight: bolder !important;">实行男、女分诊诊疗模式，开展肛肠微创治疗。山东省沂水县人民医院肛肠科专家党发修于我院坐诊</span>。科室始终坚持微创，注重肛门功能的保护，无痛治痔，减轻患者痛苦。</p><p><br/></p><p><span style="font-size: 11px;">来源:葛城街道社区卫生服务中心</span></p><link rel="stylesheet" href="//bbs.cktcw.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_f5t" id="wcn_editor_css"/>
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