外痔切剥辅助PPH术与外剥内扎术治疗重度痔的远期临床研究  

Long-term clinical study of external hemorrhoidectomy combined with PPH and Milligan-Morgan hemorrhoidectomy in the treatment of severe hemorrhoids

作　　者：陈铭[1] 卓文莹[1] 魏立[1] 张天[1] 岑嘉云[1] 林玲莉[1] 

机构地区：[1]浙江省慈溪市人民医院,慈溪315300

出　　处：《浙江创伤外科》2013年第5期613-615,共3页Zhejiang Journal of Traumatic Surgery

基　　金：慈溪市科技计划项目(CN2011028)

摘　　要：目的 比较外痔切剥辅助PPH术与外剥内扎术治疗Ⅲ、Ⅳ期环状脱垂痔的远期临床效果. 方法 对300例符合纳入标准的Ⅲ、Ⅳ期环状脱垂痔患者,随机分为试验组（PPH组）和对照组（MMH组）,每组150例.其结果进行远期随访,随访时间为术后60～120个月.结果 通过门诊复查及电话咨询,对术后疼痛、便失禁、狭窄、溢液、痔脱垂复发、皮赘遗留、排便困难的缓解率及满意度进行比较. 结论 外痔切剥辅助PPH术治疗Ⅲ、Ⅳ期环状脱垂痔的远期疗效优于MM组,是首选术式.Objective To compare the long-term clinical effect of external hemorrhoidectomy combined with PPH and conventional Milligan- Morgan （MM） hemorrhoidectomy in treatment of stage M , IV eireunrferential prolapsed hemorrhoids. Methods 300 patients with stage m and IV circumferential prolapsed hemorrhoids that met the inclusion criteria, were randomly divided into experimental group （ PPH group） and control group （ MM group）, each 150 cases. All cases were followed up for 60~120 months. Results Performed by outpatient review and telephone consultation, the postoperative pain, incontinence, anal stenosis, discharge, recurrent hemorrhoids prolapse, residual skin tags, remission rate of defecation difficulty and satisfaction degree were compared. Conclusion In this study, PPH had a better clinical effect compared with MM on stage m and IV of cir- cumferential mixed hemorrhoids, and is the preferred choice.

关 键 词：环状脱垂痔 PPH术 外剥内扎术 远期疗效 

分 类 号：R657.18[医药卫生—外科学]