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痔疮常规检查包括肛门视诊、肛门指诊、肠镜检查、肛门镜检查等方式。肛门镜检查主要应用于直肠下段和内痔检查,通过肛门镜医生可以观察内痔表面黏膜是否破损,局部是否糜烂,直肠下端是否存在息肉、肿块等疾病。 作为一种简便的门诊检查手段,肛门镜是肛肠外科医生常规采用的检查方式,但肛门镜存在其局限性,只能检查肛门和接近肛门直肠,所以临床肛门镜检查不能替代结肠镜检查。肠镜检查痔疮具有肛门镜所不具备的优势,首先可以在静脉麻醉下进行检查,全程无痛。肠镜可以排除肠道肿瘤、息肉等疾病,避免漏诊,同时肠镜可以为临床医生提供更全面的信息。
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