梁林江,全國中醫肛腸界著名專家。本書以梁林江50余年來在痔、瘺、裂等肛腸疾病方面的臨床經驗為核心,通過圖譜形式,展示典型病例及主要手術操作過程,詳細介紹了梁氏的特色診療技術。書中每個病例附有說明,以體現各個病例的特殊性、手術操作的技巧性,尤其是手術操作過程中注意點的說明,對專科醫生有較高的臨床指導意義及實用價值。
本書以特色技術為主體,以圖片形式呈現手術方式,使病例說明更形象、更具體、更全面,配合文字說明。全英文編寫,既可作為初級臨床醫生的指導用書,又可作為中高級醫師的臨床參考用書。
目 錄
Regional Anatomy of the Anus and Rectum 001
1.1 Anus 001
1.2 Anal Canal 001
1.2.1 Def inition 001
1.2.2 Structure of the Anal Canal 002
1.3 Rectum 004
1.3.1 Morphology of the Rectum 004
1.3.2 Vicinity of the Rectum 005
1.4 Muscles Surrounding the Anorectum 007
1.4.1 Internal Anal Sphincter (IAS) 007
1.4.2 External Anal Sphincter (EAS) 007
1.4.3 Conjoined Longitudinal Muscle 008
1.4.4 Levator Ani 009
1.5 Anorectal Spaces 010
1.6 Anal and Rectal Vasculature 012
1.6.1 Arteries 012
1.6.2 Veins 013
1.7 Lymphatic Drainage of the Rectum and Anus 014
1.7.1 The Upper Group 014
1.7.2 The Lower Group 015
1.8 Anal and Rectal Nerves 015
1.8.1 Rectal Nerves 015
1.8.2 Anal Nerves 015
2 Hemorrhoids 017
2.1 Introduction 017
2.1.1 Etiology and Pathology 017
2.1.2 Clinical Classif ication and Staging 025
2.1.3 Diagnosis 033
2.1.4 Treatment 036
2.2 Surgical Illustrations of Hemorrhoids 041
2.2.1 Stripping and Resection of Thrombosed External Hemorrhoids 041
2.2.2 Hemorrhoidectomy of the Connective Tissue Type of External
Hemorrhoids 043
2.2.3 Stripping and Excision of External Hemorrhoids Characteristic
of Varicose Veins 044
2.2.4 Circumferential Ligation of Internal Hemorrhoids at a High
Location 045
2.2.5 Excision of the External Portion and Ligation of the Internal
Portion of Mixed Hemorrhoids (1) 047
2.2.6 Excision of the External Portion and Ligation of the Internal
Portion of Mixed Hemorrhoids (2) 049
2.2.7 Excision of the External Portion and Ligation of the Internal
Portion of Incarcerated Mixed Hemorrhoids 051
2.2.8 Stripping of the External Portion and Ligation of the Internal
Portion of the Incarcerated Mixed Hemorrhoid 052
2.2.9 Mixed Hemorrhoids with Eczema 054
2.2.10 Mixed Hemorrhoids with Hypertrophied Anal Papillae 055
2.2.11 Mixed Hemorrhoids with Anal Papilloma and Fissure 056
2.2.12 Resection (of External Components) and Ligation (of Internal
Components) of Circular Mixed Hemorrhoids 057
2.2.13 Separation, Resection (of the External Component) and Ligation
(of the Internal Component) of Circular Mixed Hemorrhoids (1) 061
2.2.14 Separation, Resection (of the External Component) and Ligation
(of the Internal Component) of Circular Mixed Hemorrhoids (2) 064
2.2.15 Circular Mixed Hemorrhoids (Surgery in Stages) 066
2.2.16 Circular Mixed Hemorrhoids Incarcerated 067
2.2.17 Internal Hemorrhoid Ligation Technique 075
2.2.18 Internal Hemorrhoid Injection Technique 076