PPH治疗复杂性内痔和环状痔临床疗效观察  

Clinical curative effect observation of PPH in treatment of complexity hemorrhoids and circular hemorrhoid

作　　者：马陈建 孟镔[2] 陈兵[1] 孟珩 余云周 李承光[1] 沈涛[1] 

机构地区：[1]寿县县医院普外科,安徽六安232200 [2]安徽理工大学医学院临床外科应用解剖教研室,安徽淮南232001

出　　处：《局解手术学杂志》2014年第5期531-534,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的观察PPH治疗复杂性内痔和环状痔的临床疗效。方法对我院及教学医院自2010年1月至2014年1月采用PPH治疗混合痔、复杂性内痔和环状痔278例的完整临床资料进行回顾性分析,观察其术后近期和远期疗效。结果手术平均时间28 min,住院平均时间6.1 d,术后并发症有疼痛、肛缘皮肤水肿、出血和尿潴留等;治愈186例(66.9%),显效35例(12.6%),效差20例(7.2%),复发37例(13.3%)。结论 PPH具有操作简单、术后恢复快见效快等优点,但其并发症处理较困难,复发率也较高,不适用于治疗外痔。Objietive Observe the clinical curative effect of PPH in treatment of complexity hemorrhoids and circular hemorrhoid. Methods From January 2010 to January 2014, the clinical data of 278 patients who underwent PPH to treat complexity hemorrhoids, mixed hemorrhoid and circular hemorrhoid were retrospectively analyzed. The postoperative recent and forward curative effect was observed. Results The average operativetime was 28 minutes, and the average hospital stay were 6. 1 days. There were postoperative complications such as pain, anal skin edema, bleeding and urinary retention. 186 cases were cured （66. 9%）,35 cases were markedly improved （12. 6%）,20 ca-ses were of poor effect （7. 2%）,and recurrence occured in 37 cases （13. 3%）. Conclusion PPH has the advantages of simple in operation and quick in postoperative recovery. But there were to many postoperative complications and the recurrence rate is high. So PPH needs more further observation and study.

关 键 词：吻合器痔上黏膜环切术(PPH) 复杂性内痔 环状痔 

分 类 号：R657.18[医药卫生—外科学]