吻合器痔上黏膜环切术(PPH)与传统外剥内扎术治疗环状混合痔的疗效比较  

The curative effect of procedure for prolapse and hemorrhoids(PPH)compared with traditional milligan morgan hemorrhoidectomy in the treatment of circumferential mixed hemorrhoids

作　　者：杨钦清[1] 董芳[2] 梁顺华[1] 孟春鸣[1] 

机构地区：[1]武警新疆总队医院普外科,新疆乌鲁木齐830000 [2]武警新疆总队医院消化呼吸科,新疆乌鲁木齐830000

出　　处：《中国现代医生》2015年第10期24-26,共3页China Modern Doctor

摘　　要：目的比较吻合器痔上黏膜环切术(PPH)与传统外剥内扎术治疗环状混合痔的疗效。方法 60例环状混合痔患者随机分为观察组和对照组,每组30例,观察组行吻合器痔上黏膜环切术,对照组行外剥内扎术,比较两组各项手术指标及住院时间、疼痛评分(VAS)、并发症情况。结果观察组患者的平均手术时间、住院时间明显短于对照组,观察组患者的术中出血量明显少于对照组(P<0.05),术后24 h观察组患者的疼痛评分(VAS)较对照组降低更显著(P<0.05),观察组术后并发症发生率为13.3%,对照组并发症发生率达40.0%,两组并发症发生率比较差异具有统计学意义(P<0.05)。结论吻合器痔上黏膜环切术较传统外剥内扎术具有出血量少、手术时间短、术后并发症少、患者痛苦少等优点,值得推广和应用。Objective To compare the effect of procedure prolapse hemorrhoids （PPH）and traditional milligan morgan hemorrhoidectomy in treatment of circumferential mixed hemorrhoids. Methods All 60 cases annular mixed hemorrhoid patients were randomly divided into observation group and control group,each group 30 cases, observation group un-derwent the procedure for prolapse and hemorrhoids,the control group underwent milligan morgan hemorrhoidectomy,op-erative time, bleeding, hospitalization time, VAS, complications were compared between two groups. Results The mean operative time, hospitalization time of observation group was significantly shorter than the control group,intra-operative bleeding volume was less than the control group （P〈0.05）, after operation 24 h, VAS of observation group decreased more significantly than the control group（P〈0.05）,the complication rate in the observation group was 13.3%,was lower than the control group 40.0%（P〈0.05）. Conclusion The procedure for prolapse and hemorrhoids than tradi-tional milligan morgan hemorrhoidectomy has advantages of less bleeding, shorter operative time, less postoperative complications,less pain,worthy of promotion and application.

关 键 词：混合痔 环状 吻合器痔上黏膜环切术 传统外剥内扎术 

分 类 号：R657.18[医药卫生—外科学]