吻合器痔上直肠黏膜环切术后并发症的原因及防治  

Reasons,prevention and treatment of complications after PPH

作　　者：戚睿飞[1] 

机构地区：[1]江苏大学附属昆山市第一人民医院,江苏昆山215300

出　　处：《现代医药卫生》2011年第3期327-328,共2页Journal of Modern Medicine & Health

摘　　要：目的：探讨吻合器痔上直肠黏膜环切术（PPH）术后并发症的产生原因与防治措施。方法：对我科2004年6月~2008年6月应用PPH治疗Ⅲ~Ⅳ期内痔、环状混合痔300例患者中术后并发症的原因、防治措施进行分析。结果：PPH术后并发症发生率为31.3%（94/300）,其中吻合口出血3例、尿潴留36例、吻合口狭窄7例、肛乳头肥大52例、直肠黏膜下脓肿1例、肛门口坠胀和残便感86例、肛门剧痛26例。结论：围手术期的处理不规范是PPH术后并发症的主要原因,严格手术指征以及手术操作技术的提高可以降低PPH术后并发症。Objective：To investigate the reasons and countermeasures of complications after procedure for prolapse and hemorrhoids（PPH）.Methods：From June 2004 to June 2008,a total of 300 patients with grade III-IV hemorrhoids or mixed hemorrhoids underwent PPH in our department.The clinical data were studied and analyzed retrospectively.Results：The rate of complications was 31.3%（94/300）,and the reasons included anastomotic bleeding in 3 cases,urinary retention in 36 cases,anastomotic stenosis in 7 cases,papilloma or hypertrophy of anal papillae in 52 cases,submucosal abscess of rectum in 1 case,sense of fall-swell in anus and residual stool in 86 cases and acute anal pain in 26 cases.Conclusion：The main reasons of complications after PPH are abnormal medical conducts during perioperative period.The postoperative complications can be decreased by means of improvement of professional skills and strict implementation of operative guides.

关 键 词：吻合器痔上直肠黏膜环切术 痔 并发症 

分 类 号：R6[医药卫生—外科学]