改良肛镜缝扎器在吻合器痔上黏膜环形切除术中的临床应用  

Clinical application of improved produce for suture anoscope in procedure for prolapse and hemorrhoids

作　　者：梁毅[1] 刘付战[1] 陈昶春[1] 陈春雷[1] 

机构地区：[1]广东医学院第二附属医院肛肠外科,湛江524003

出　　处：《中华胃肠外科杂志》2004年第6期483-484,共2页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的解决在吻合器痔上黏膜环形切除术(PPH)中所存在的荷包圈缝合不全的问题。方法将原半筒管状的肛镜缝扎器改良成为完全筒管状,管壁上按定位要求开两排“缝合孔”,作为齿状线上荷包缝合时缝针的进出口。结果用改良后的肛镜缝扎器完成了11例PPH手术。通过改良的完全筒管状肛镜缝扎器可使术野暴露清晰,荷包缝合操作便捷可靠,环切黏膜圈均匀完整,无1例产生黏膜血肿和黏膜圈中断现象,术后恢复顺利,痔块完全回缩。结论改良后的肛镜缝扎器基本上解决了原肛镜缝扎器所存弊端。Objective To overcome the shortage of procedure for prolapse and hemorrhoids(PPH) by improved primary produce for suture anoscope (PSA). Methods The primary half tubeshaped PSA which had by was changed into whole tubeshaped one. Two lines “suturing hole”were made on the wall of the tube according to requirement of orientation. The “suturing holes”were used for entrance and exit where purse string suture could be done above linea dendate. Operations were performed on 11 patients with the improved PSA. Results Improved PSA could expose ken of operation clearly. Purse string suture in operation was easy and reliable. In 11 cases of PPH operations, all mucous circles in circular resection were complete and no patient emerged mucous hematoma or broken mucous circle. After operation patients recovered quickly and hemorrhoidal mass was atrophy completely. Conclusion Improved PSA can not only overcome the shortage of primary PSA, but also improve efficiency and shorten operation time.

关 键 词：肛镜缝扎器 吻合器痔上黏膜环形切除术 临床应用 痔 外科手术 

分 类 号：R657.1[医药卫生—外科学]