PPH与Milligan-Morgan术治疗Ⅲ～Ⅳ期混合痔的临床效果观察  

Effect observation of PPH and Milligan-Morgan surgery on treatment of Ⅲ～Ⅳ stage of mixed hemorrhoids

作　　者：史俊[1] 陈平[1] 李俊[1] 

机构地区：[1]江苏省宜兴市人民医院胃肠肛肠外科,江苏宜兴214200

出　　处：《实用临床医药杂志》2012年第23期62-64,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11220233)

摘　　要：目的比较痔上黏膜环切术（PPH术）与传统痔切除术（Milligan—Morgan术）治疗Ⅲ～Ⅳ期混合痔的临床效果，探讨治疗Ⅲ～Ⅳ期混合痔的最佳术式。方法将100例混合痔患者随机分为PPH术组，Milligan-Mom术（M-M组），并进行对比观察。结果与M-M术相比，PPH术无MiUigan-Morgan术常见的肛门部水肿等并发症，术后肛门部疼痛轻，术后恢复快，住院时间短，差异有统计学意义（P〈0．05）。结论在治疗Ⅲ～Ⅳ期混合痔时，应首选PPH术治疗Ⅲ～Ⅳ期环状痔患者，可显著减轻术后疼痛，加快患者术后恢复，减少术后并发症。Objective To compare the clinical effect of PPH and Milligan-Morgan（M-M） in the treatment of Ⅲ～Ⅳ stage of mixed hemorrhoids and explore the best surgical type for Ⅲ～Ⅳstage of mixed hemorrhoids. Methods 100 patients were randomly divided into PPH group and M-M group. Results Compared with M-M group, the PPH group had less complications, soft postoperative anus pain, short duration d hospitalization and fast rehabilitation （ P 〈 0.05 ）. Conclusion PPH is the first choice for treatment of Ⅲ～Ⅳ stage of annular mixed hemorrhoids, which can reduce postoperative pain, promote postoperative recovery and reduce postoperative complications.

关 键 词：混合痔 痔上黏膜环切术 临床观察 

分 类 号：R657.1[医药卫生—外科学]