痔上黏膜环切钉合术治疗痔的临床疗效观察  

Therapeutic effect of operative procedure on prolapse and hemorrhoids

作　　者：薄彪[1] 于振国 杨凌洪[1] 刘源[1] 凌光烈[1] 

机构地区：[1]中国医科大学附属第一医院肛肠外科,沈阳110001 [2]大洼县第一人民医院,盘锦124200

出　　处：《中华普外科手术学杂志（电子版）》2013年第1期60-62,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的观察和评估痔上黏膜环切钉合术(PPH)治疗痔的临床疗效。方法将233例Ⅲ～Ⅳ度痔患者随机分为两组,治疗组108例采用PPH;对照组125例采用传统痔切除术;两组从总体疗效、住院时间、手术时间、创面愈合时间、术后疼痛、出血、肛门功能、复发率等对比观察。结果治疗组与对照组显愈率分别为93.5%和92.0%(P>0.05),但两组间的住院时间、手术时间、创面愈合时间、并发症等差异有统计学意义(P<0.05),治疗组明显优于对照组。结论在治疗痔的手术中,"痔上黏膜环切钉合术"与传统痔切除术相比,具有痛苦小、疗程短、并发症少等优点,该术式的应用符合微创手术的理念。Obective To observe the clinical outcome of operative procedure for prolapse and hemorrhoids（PPH）. Methods 233 patients with stage III- IV hemorrhoids were randomly divided into two groups： treatment group and control group. The treatment group consisted of 108 patients who received PPH and the control group comprised 125 patients who underwent conventional operation. Both groups were compared in terms of overall efficacy, duration of hospitalization, operative time, wound healing time, postoperative pain, bleeding, anal function, and postoperative recurrence. Results The healing rates of the treatment group and control group were 93.5% and 92.0% respectively （P 〉 0.05 ）. There was significant difference in duration of hospitalization, operation time, healing time and complications between the two groups （ P 〈 0.05 ）, and better outcome was seen in the treatment group. Conclusion Compared with conventional surgery, PPH has some advantages in the treatment of hemorrhoids, including less pain, short course of treatment, fewer complications ,etc, which are consistent with the concept of minimally invasive surgery.

关 键 词：痔 外科缝合器缝合 肛垫 

分 类 号：R657.1[医药卫生—外科学]