吻合器痔上粘膜环切术(PPH)并发症的防治  

Prevention and treatment of postoperative complications of procedure for prolapse and hemorrhoids

作　　者：黄延年[1] 李文宏[1] 

机构地区：[1]中山大学附属博济医院普通外科,513000

出　　处：《岭南现代临床外科》2009年第2期124-126,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨吻合器痔上粘膜环切术(PPH)并发症的原因及防治策略。方法回顾性分析本院自2002年1月至2008年10月PPH治疗的90例重度痔病患者并发症发生情况。结果术后出血6例、尿潴留43例、肛门部疼痛17例、痔粘膜回缩不良2例,术后精细控便障碍1例,并发肛瘘1例;无吻合口感染、肛门狭窄、大便失禁、痔复发、直肠阴道瘘病例。结论PPH术具有疗效好,恢复快、疼痛少的优点,但PPH存在多种并发症。严格掌握手术适应症、加强围手术期处理,可减少并发症的发生。Objective To investigate the causes and prevention and therapeutic strategies of postoperative complications of procedure for prolapse and hemorrhoids （PPH） in the treatment of severe hemorrhoids. Methods From January 2002 to October 2008,90 cases with severe hemorrhoids received PPH were analyzed retrospectively. Results The postoperative complications of PPH were as follows：anastomotic bleeding in 6 cases,urinary retention in 43 cases,anal pain in 17 cases, hemorrhoidal mucosal dys-retraction in 2 cases,fine control defecation disturbance in 1 cases, and 1 cases of anal fistula. No anastomotic infection, anal stenosis, fecal incontinence, hemorrhoidal recurrence and rectovaginal fistula were found after operation. Conclusion PPH has good effectiveness, rapid recovery and less pain etc advantages, but still it has some complications. Strict controlled operation indication and enhancing perioperative management would reduce incidence of complication.

关 键 词：痔 吻合器痔上粘膜环切术 并发症 

分 类 号：R657.1[医药卫生—外科学]