吻合器黏膜环切术与外剥内扎术治疗重度痔的疗效比较  

Comparison of procedure for prolapse and hemrrhoids and external dissection and internal ligation for severe hemorrhoids

作　　者：羊涛[1] 冷津立[1] 张嘉越[1] 

机构地区：[1]解放军303医院普外科,南宁市530021

出　　处：《微创医学》2010年第4期346-347,共2页Journal of Minimally Invasive Medicine

摘　　要：目的对比分析吻合器黏膜环切术(PPH)与外剥内扎术治疗重度痔的临床疗效。方法选择重度痔(Ⅲ～Ⅳ期)患者40例,随机分为PPH组(PPH手术)和对照组(外剥内扎术)进行治疗,每组20例;统计两组手术时间、住院时间、创面愈合时间、恢复工作时间、并发症和随访情况等。结果 PPH组的手术时间、住院时间、创面愈合时间、恢复工作时间均比对照组短,并发症也比对照组少,差异均有统计学意义(P<0.05),随访期间PPH组无1例复发。结论 PPH治疗重度痔疮操作简便,安全有效,值得进一步推广。Objective To compare the clinical efficacy of procedure for prolapse and hemrrhoids and external dissection and internal ligation in the treatment of severe hemorrhoids.Methods 40 cases of severe hemorrhoids （gradeⅢ-Ⅳ ）were divided into PPH group and control group randomly, with each group of 20 cases. The time of operation,hospital stay,and back to work,and status of complications and follow-up were observed and compared.Results The time of operation,hospital stay,and back to work in PPH group were significantly shorter than those in control group （P0.05）;the occurrence of complication in PPH group was less than in control group （P0.05）.No recurrence was observed during the follow up in the PPH group.Conclusion PPH is featured as easy,safe and effective,and worthy of further application in treatment of severe hemorrhoids.

关 键 词：吻合器黏膜环切术 重度痔 外剥内扎术 对比 

分 类 号：R657.18[医药卫生—外科学]