吻合器痔上黏膜环切术与外剥内扎术治疗急性嵌顿痔的对比研究  

Comparison of Procedure for Prolapse and Hemorrhoids with Milligan-Morgan Hemorrhoidectomy for Acute Incarcerated Hemorrhoids

作　　者：宋成飞[1] 于好[1] 李春雨[1] 唐元新[2] 

机构地区：[1]中国医科大学附属第四医院肛肠外科,沈阳110032 [2]中国医科大学附属第四医院胃肠外科,沈阳110032

出　　处：《中国普外基础与临床杂志》2010年第8期808-811,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：辽宁省自然科学基金项目(项目编号:20082093)~~

摘　　要：目的比较吻合器痔上黏膜环切术(PPH)与外剥内扎术(MMH)治疗急性嵌顿痔的疗效。方法对103例急性嵌顿痔手术治疗患者的临床资料进行回顾性分析,根据不同手术方式分为PPH组(n=58)和MMH组(n=45),对2组患者手术时间、术后VAS评分、注射止痛药次数、术后出血、尿潴留、肛缘水肿、住院时间及住院费用进行比较。结果手术后2组患者的症状均缓解。尽管PPH组患者住院费用多于MMH组患者(P<0.01),但在手术时间、术后疼痛的VAS评分、需用止痛药次数、术后并发症(肛缘水肿)发生率及住院时间方面PPH组均明显优于MMH组(P<0.01)。结论 PPH治疗急性嵌顿痔与MMH一样安全、有效,且近期疗效优于MMH。Objective To compare the curative effect of procedure for prolapse and hemorrhoids （PPH） with Milligan-Morgan hemorrhoidectomy （MMH） for acute incarcerated hemorrhoids. Methods A retrospective study of 103 patients with acute incarcerated hemorrhoids treated by surgery was performed. The patients were divided into PPH group （n=58） and MMH group （n=45） according to the different operation program who underwent. Operative time,pain score of VAS,time required for anodyne,postoperative complications,hospital stay,and hospital charges were compared. Results The symptoms were both relieved in two groups patients. Although the hospital charges of patients in MMH group were fewer,the patients in PPH group had advantages of shorter operative time,less postoperative pain,lower requirement for anodyne,fewer complications （edema of anal edge）,and shorter hospital stay （P0.01）. Conclusion PPH is as safe and effective as MMH,and furthermore its short-term therapeutic effect is better than MMH.

关 键 词：吻合器 痔上黏膜环切术 外剥内扎术 嵌顿痔 治疗 

分 类 号：R657.18[医药卫生—外科学]