应用PPH术治疗嵌顿性环状混合痔的临床研究  

Clinical research on PPH application in treating incareration of circumferential mixed bemorrhoids

作　　者：舒洪权[1] 颜景颖 陈萍[1] 

机构地区：[1]深圳市第二人民医院,518039 [2]深圳市宝安区福永人民医院,518103

出　　处：《国际医药卫生导报》2011年第1期49-51,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨临床应用吻合器痔上黏膜环切钉合术（PPH）治疗嵌顿性环状混合痔的可行性及临床价值.方法 随机将78例嵌顿性环状混合痔病人分为试验组和对照组,各39例.试验组应用PPH术＋改良Milligan-Morgan术治疗,对照组应用传统Milligan-Morgan术治疗.对病人手术时间、住院时间、恢复工作时间、术后疼痛、疗效以及安全性进行观察.结果 手术时间试验组（20.40±1.65）min,对照组（32.59±1.91）min,P＜0.05;住院时间试验组（5.59±1.50）d,对照组（9.25±1.45）d,P＜0.05;恢复工作时间试验组（9.13±1.85）d,对照组（16.15±2.59）d,P＜0.05.但两组疗效以及安全性比较差异无显著性,P＞0.05.结论 PPH技术是治疗嵌顿性环状混合痔的有效方法.Objective To investigate the feasibility and clinical value of adopting Procedure for prolapse and hemorrhoids（ PPH ）in treating incarceration of circumferential mixed hemorrhoids. Methods 78 patients with incarceration of circumferential mixed hemorrhoids were randomly divided into experimental group（39 patients）and control group（39 patients）.The experimental group were treated by PPH and improved Milligan-Morgan, while the others were treated by traditional Milligan- Morgan. Observed indexes include operating time, length of stay, recovery time, the pain after operation, curative effect and safety evaluation,etc. Results The operating time were （20.40 ± 1.65） minutes and （32.59 ± 1.91） minutes respectively,P〈 0.05. The length of stay were （5.59 ± 1.50） days and （9.25 ± 1.45） days respectively, P〈 0.05. The recovery time were （9.13 ± 1.85） days and （16.15± 2.59） days respectively, P〈0.05.But in curative effect and safety evaluation there was no conspicuous difference between two groups（P〉 0.05）. Conclusion The PPH is an effective method in treating incarceration of circumferential mixed hemorrhoids.

关 键 词：混合痔 嵌顿 PPH 

分 类 号：R657[医药卫生—外科学]