? wcjd@wjgnet.com 临床经验 CLINICAL PRACTICE 中医挂线治疗直肠狭窄12例 世界华人消化杂志 2008年12月8日; 16(34): 3928-3931 ISSN 1009-3079 CN 14-1260/R 李华山, 马树梅, 王晓锋 ■背景资料 直肠狭窄是由于 各种原因引起的 直肠肠腔变窄, 从 而出现排便困难, 大便变细等一系 列临床症状的疾 病, 为肛门直肠手 术后一种严重的 并发症, 本病多为 医源性损伤, 近年 来发病率呈上升 趋势. 李华山, 马树梅, 王晓锋, 中国中医科学院广安门医院肛肠 科 北京市 100053 作者贡献分布: 本文选题与临床研究由李华山完成; 临床资料搜 集整理由马树梅与王晓锋共同完成; 本文写作由马树梅完成. 通讯作者: 李华山, 100053, 北京市宣武区北线阁5号, 中国中医 科学院广安门医院肛肠科. lihuashan@263.net 电话: 010-88001025? 传真: 010-88001025 收稿日期: 2008-09-04 修回日期: 2008-10-30 接受日期: 2008-11-03 在线出版日期: 2008-12-08 Treatment of rectal stenosis with TCM thread-drawing method: analysis of 12 cases Hua-Shan Li, Shu-Mei Ma, Xiao-Feng Wang Key Words: Thread-drawing method; Rectal stenosis; Traditional Chinese Medicine Li HS, Ma SM, Wang XF. Treatment of rectal stenosis with TCM thread-drawing method: analysis of 12 cases. Shijie Huaren Xiaohua Zazhi 2008; 16(34): 3928-3931 摘要 目的: 探索直肠狭窄的治疗方法. 方法: 收集2004-07/2008-10广安门医院肛肠 科住院患者12例, 均采取中医挂线进行治疗, 观察其疗效. Hua-Shan Li, Shu-Mei Ma, Xiao-Feng Wang, Department of Proctology, Guang’anmen Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing 100053, China Correspondence to: Hua-Shan Li, Department of Proctology, Guang’anmen Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing 100053, China. lihuashan@263.net Received: 2008-09-04 Revised: 2008-10-30 Accepted: 2008-11-03 Pubilshed online: 2008-12-08 结果: 12例患者均获得临床治愈, 其中痊愈9 例, 有效3例, 无效0例, 总有效率100%. 疗程 7-33 d, 平均21 d. 治疗期间未出现大出血等严 重并发症. 术后随访1mo-4年, 无狭窄发生. 结论: 中医挂线治疗直肠狭窄是一种安全、 有效、简便、价廉的治疗方法. ■同行评议者 许玲, 副教授, 中 国人民解放军第 二军医大学长征 医院中医科 Abstract AIM: To search for a better treatment method for rectal stenosis. METHODS: From Jul. 2004 to Oct. 2008, 12 cases with rectal stenosis were referred to the department of proctology in Guang’anmen hospital. All the patients were subjected to traditional Chinese medicine thread-drawing treatment to observe the curative effect. RESULTS: All the patients were cured clinically. The outcome after thread-drawing treatment was classified in three categories: cured: n = 9; improved: n = 3; failure: n = 0. The total effective rate was 100%. The mean disease course was 21d (ranging from 7d to 33 d). No complications like major bleeding occurred and no recurrent stenosis occurred during a follow-up period of 1 month to 4 years. CONCLUSION: Thread-drawing method is a safe, effective, convenient and inexpensive treatment method for rectal stenosis. 关键词: 挂线; 直肠狭窄; 中医 李华山, 马树梅, 王晓锋. 中医挂线治疗直肠狭窄12例.? 世界华 人消化杂志 2008; 16(34): 3928-3931 http://www.wjgnet.com/1009-3079/16/3928.asp 0 引言 直肠狭窄(rectal stenosis)是指各种原因引起的 直肠肠腔狭小缩窄, 轻则大便困难坠胀疼痛, 严重者可出现低位肠梗阻症状. 我们收集了 2004-07/2008-10我院肛肠科直肠狭窄患者12例, 均实施中医挂线治疗, 取得了较好的疗效, 现报 道如下. 1 材料和方法 1.1 材料 广安门医院肛肠科2004-07/2008-10直肠 狭窄患者12例. 其中男8例, 女4例, 年龄36-76(平 均54.2±0.6)岁, 病程最短2 mo, 最长6年. 1.2 方法 1.2.1 诊断标准: 参考《中医病证诊疗标准与方 www.wjgnet.com 李华山, 等. 中医挂线治疗直肠狭窄12例 3929 剂选用》[1]、李雨农《中华肛肠病学》[2]