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患者，女，42岁。肛门部肿物，异物感明显，时肿痛。经查可见截石位3、7、11点为静脉曲张性外痔。应首选的治疗措施是______

A. 注射法
B. 枯痔法
C. 结手法
D. 切除法
E. 外剥内手法

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