PPH加外痔剥离切除术治疗急性嵌顿环状混合痔40例  

PPH Combined with Dissection ＆ Resection for External Hemorrhoids in the Treatment of Acute Incarcerated Circumferential Mixed Hemorrhoids of 40 Cases

作　　者：张林祥 吴晓玲 孟艳君 亓敏 魏鑫 李辉 滕娟 

机构地区：[1]山东省莱芜市莱城区人民医院肛肠外科,山东莱芜271100 [2]山东省莱芜市莱城区高庄街道办事处卫生院,山东莱芜271122

出　　处：《中国肛肠病杂志》2011年第11期17-18,共2页Chinese Journal of Coloproctology

摘　　要：为探讨治疗急性嵌顿环状混合痔的理想术式，将急性嵌顿环状混合痔患者80例随机分为治疗组和对照组各40例，治疗组采用痔上黏膜环切术（PPH）加外痔剥离切除术治疗，对照组采用传统外切内扎术治疗，并对两组手术治疗结果进行对比分析。结果显示，两组患者全部治愈，均无复发，但PPH结合外痔剥离切除术在创面愈合时间、平均住院天数及术后疼痛、水肿、肛门狭窄等方面明显优于外切内扎术（P〈0．01）。结果表明，该术式治疗急性嵌顿环状混合痔疗效确切，具有疗程短，痛苦少，术后无肛门畸形、狭窄等优点，值得临床推广。In order to search for a ideal procedure for acute incarcerated circumferential mixed hemorrhoids, authors divided the 80 patients with this disease randomly into treatment and control groups（40 cases,per group）,made treatment group to receive the combined procedure of PPH and dissection resection for external hemorrhoids,control group to receive routine procedure of external resection and internal ligation,then compared and analysed treatment outcome of both groups. As results, all patients of both groups were cured, and no recurrence; but in healing time of wound-surface, average hospitalization duration, and postoperative pain, edema, anal stenosis, ete, above-mentioned combined procedure was superior to routine one（ P 〈0.01）. Results show that this combined procedure has such advantages as certain therapeutic effect, shorter treatment course, less pain, and without postoeprative anal deformity and stenosis, etc,thus it is worthy to be popularized clinically.

关 键 词：痔 PPH 外痔剥离切除术 

分 类 号：R657.180.5[医药卫生—外科学]