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作 者:田韶桢
机构地区:[1]武警云南怒江公安边防支队医院,云南怒江673100
出 处:《医学信息(中旬刊)》2010年第10期2771-2772,共2页Medical Information Operations Sciences Fascicule
摘 要:目的:PPH(吻合器痔上黏膜环切术)术并发症的原因及策略。方法:2004年7月至2009年10月对386例Ⅲ、Ⅳ度内痔病人行PPH术,分析术后发生并发症的原因及策略。结果:386例病人平均手术时间20min;术后1d发生疼痛的发生率21.1%,出血发生率5.8%;4~12周再出血率9.8%(38/386)。2例发生吻合口狭窄,分别发生在3、10个月。平均随访时间36±5.6个月,随访率为89.4%(345/386,),3例严重脱垂内痔病人做第2次PPH术,其余病人均无复发。结论:PPH具有手术时间短、创伤小、恢复快、并发症少等优点,术后只要能正确处理并发症,是治疗Ⅲ、Ⅳ度脱垂内痔的理想方法。Objective:To access the reasons and countermeasure of the complications after procedure for prolapse and hemorrhoids(PPH).Methods:Third hundreds eighty and six cases ofⅢ-andⅣ-degree hemorrhoids were treated with PPH from July2004 to October 2009.The reassons and countermeasure of the complications were analyzed.Results:Of the 386 patients,the mean operation time was 20 min.In the next day after procedures,pain rate was 21.1% and the bleeding rate was 5.8%.9.8%(38/386) of patients had re-bleeding 4~12w after procedures.Only 2 patients were found stricture in rectum3,10 months after the procedure.In 345 followed-up patients(345/386,89.4%),there were only 3 severe patients had twice of procedure and no recurrence in other patients.Conclusion:PPH is effective,safe,minimal invasive method and is the ideal choice to treat severe hemorrhoids.
关 键 词:吻合器痔上黏膜环切术 Ⅲ、Ⅳ度脱垂内痔
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