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中华结直肠疾病电子杂志 ›› 2025, Vol. 14 ›› Issue (01) : 20 -28. doi: 10.3877/cma.j.issn.2095-3224.2025.01.002

指南与共识

河南省痔病基层诊疗专家共识(2024 年)
河南省医师协会结直肠肛门外科医师分会   
  • 收稿日期:2024-08-30 出版日期:2025-02-25

Consensus of experts on grassroots diagnosis and treatment of hemorrhoids in He'nan Province(2024)

Provincial Medical Doctor Association,the Committee of Colorectal Anal Surgeons He'nan   

  • Received:2024-08-30 Published:2025-02-25
引用本文:

河南省医师协会结直肠肛门外科医师分会. 河南省痔病基层诊疗专家共识(2024 年)[J/OL]. 中华结直肠疾病电子杂志, 2025, 14(01): 20-28.

Provincial Medical Doctor Association,the Committee of Colorectal Anal Surgeons He'nan. Consensus of experts on grassroots diagnosis and treatment of hemorrhoids in He'nan Province(2024)[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2025, 14(01): 20-28.

痔病(hemorrhoids)是最常见的肛肠疾病,河南省人口众多,全省估计约三千多万人患有痔病,为提高河南省基层医务人员对痔病的全面认识及诊治水平,同时为基层医疗机构提供具体、可行的诊治规范,河南省医师协会结直肠肛门外科医师分会,在检索、阅读相应文献的基础上,参考《中国痔病诊疗指南(2020)》,结合河南省基层医疗机构和医务人员的实际情况,针对痔病的定义、分类、流行病学、病因、发病机制、诊断、鉴别诊断、转诊建议、治疗、疾病管理等方面进行全面阐述。

Hemorrhoids are the most common anorectal diseases.He'nan Province has a large population, and it is estimated that more than 30 million people in the province suffer from hemorrhoids.In order to improve the comprehensive understanding and diagnosis and treatment level of primary medical staffin Henan Province, also to provide specific and feasible diagnosis and treatment norms for primary medical institutions, the He'nan Provincial Medical Doctor Association, the Committee of Colorectal Anal Surgeons,based on the search and reading of relevant literatures, with reference to China Hemorrhoid Diagnosis and Treatment Guide (2020), combined with the actual situation of primary medical institutions and medical personnel in He'nan Province, the definition, classification, epidemiology, etiology, pathogenesis, diagnosis,differential diagnosis, referral recommendations, treatment, disease management and other aspects of hemorrhoids were comprehensively elaborated.

图1 Ⅱ度内痔
图2 内痔分度
表1 内痔分度(Goligher 分度)
图3 血栓性外痔
图4 混合痔
图5 环状痔
图6 嵌顿性痔
表2 结肠镜检查指征
图7 直肠肛管检查体位。7A:左侧卧位 ;7B:膝胸位;7C:截石位;7D:蹲位
图8 肛门视诊,8A:膝胸位;8B:左侧卧位
图9 常用肛门镜
图10 直肠癌
图11 直肠息肉
图12 直肠脱垂
《河南省痔病基层诊疗专家共识(2024 年)》编委会名单
图13 痔病分级诊疗流程图
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