PPH联合肛门分段成形术治疗重度混合痔34例  

PPH combined with anal sectional forming in the treatment of severe mixed hemorrhoids: analysis of 34 cases

作　　者：罗彪[1] 黄韬[1] 朱红[1] 刘佳[1] 曹茜[1] 

机构地区：[1]四川大学华西医院西藏成办分院普外科,成都610041

出　　处：《中国临床新医学》2014年第7期629-631,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的：探讨吻合器痔上黏膜环形切除术（ PPH）联合肛门分段成形术治疗重度混合痔的临床疗效。方法采用PPH联合肛门分段成形术治疗34例重度混合痔，其中Ⅲ期痔16例，Ⅳ期痔18例，对术后疗效及并发症进行分析。结果术后全部患者痔核完全回缩，水肿消退。术后出现并发症尿潴留8例，肛周麻木3例（3～7 d自行好转）。平均随访1.8年，无肛门狭窄、肛裂、大便失禁、出血，无复发。结论 PPH联合肛门分段成形术是目前治疗重度混合痔的一种安全、有效的理想方法。Objective To explore the clinical efficacy of procedure for prolapse and hemorrhoids （PPH） combined with anal sectional forming in the treatment of severe mixed hemorrhoids .Methods PPH combined with anal sectional forming were used for treatment of 34 cases of severe mixed hemorrhoids , including stage Ⅲhemorrhoids in 16 cases, stage IV hemorrhoids in 18 cases, and their postoperative curative effects and complications were analyzed.Results After operation,all patients′hemorrhoids completely retracted and edema subsided .The postoperative complications included urinary retention in 8 cases and perianal numbness and discomfort in 3 cases.Within 3～7 days these signs and symptoms improved spontaneously .During follow-up with an average of 1.8 years, no stricture of anus, anal fissure,fecal incontinence , bleeding and recurrence were found .Conclusion PPH combined with anal sectional forming in the treatment of severe mixed hemorrhoids is a safe effective ideal method.

关 键 词：吻合器痔上黏膜环形切除术 肛门分段成形 重度混合痔 

分 类 号：R657.18[医药卫生—外科学]