PPH联合部分肛门内括约肌切断术治疗重度混合痔远期疗效及安全性的临床研究  

Long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids

作　　者：高尚明[1] 赵耀[1] 郭海[1] 赵晓峰[1] 

机构地区：[1]南京医科大学附属淮安第一医院胃肠外科,江苏淮安223300

出　　处：《重庆医学》2014年第24期3187-3188,3191,共3页Chongqing medicine

摘　　要：目的观察和评价吻合器痔上黏膜环切除术(PPH)联合肛门内括约肌部分切断术治疗重度混合痔的临床疗效。方法选取2008年5月至2010年5月重度混合痔患者103例,分为试验组52例和对照组51例。试验组行PPH联合肛门内括约肌部分切断术,对照组行单纯PPH手术。术后对两组患者的远期疗效及并发症进行比较分析。结果术后24个月试验组的痔核再次脱出、肛门疼痛、便血等症状复发率明显低于对照组(P<0.05)。两组肛门失禁、肛门狭窄等严重并发症比较,差异无统计学意义(P>0.05)。结论 PPH联合肛门内括约肌部分切断术治疗重度混合痔可明显降低术后症状复发率,提高远期疗效,且不增加新的风险。Objective To observe and evaluate the long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids .Methods Choose 103 patients who were diagnosed with severe mixed hemorrhoids from May 2008 to May 2010 .Then divided these patients into the experimental group of 52 patients and the control group of 51 patients ,randomly . The patients of experimental group were treated by PPH plus partial internal anal sphincterotomy ,and the patients of control group were treated by the simple PPH operation .Have a postoperative followed up for 24 months to check and compare the long-term ef-ficacy and safety of two groups .Results The incidence of prolapse recurrence ,anus pain and hemafecia in experimental group were significantly lower than that in control group（P〈0 .05） ,there was no significance of the anal incontinence and anal stenosis in two groups（P〉0 .05） .Conclusion The therapy of the PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids can significantly reduce the recurrence ,and improve the long-time efficacy ,but not to increase additional risk .

关 键 词：混合痔 PPH 肛门内括约肌部分切断术 远期疗效 安全性 

分 类 号：R657.18[医药卫生—外科学]