单荷包波浪状缝合四点牵引改良PPH术在重度痔手术中的应用  

The Application of Reformed PPH with Single Wave-like Purse String Suture and 4 Point's Pull in Treating Severe Hemorrhoids

作　　者：唐言华[1] 刘继武[1] 刘品泛 李春来[1] 耿协强[2] 耿玲[3] 吴正阳[1] 段泽艳[1] Tang Yanhua Liu Jiwu Liu Pinfan Li Chunlai Geng Xieqiang Geng Ling Wu Zhengyang Duan Zeyan(Department of Surgery, the First People＇s Hospital of Guiyang, Guiyang, Guizhou Province, 550001 Department of Surgery, Military Hospital No. 59, Kaiyuan City, Yunnan Province, 661600 Military Hospital No. 44, Guiyang, Guizhou Province, 550000, P. R. China)

机构地区：[1]贵阳市第一人民医院普通外科二病区,贵阳550001 [2]解放军59医院普通外科 [3]解放军44医院

出　　处：《西南军医》2017年第2期107-109,共3页Journal of Military Surgeon in Southwest China

摘　　要：目的探讨应用单荷包波浪状缝合四点牵引改良PPH术治疗重度痔的效果。方法分析128例重度痔患者应用单荷包波浪状缝合四点牵引改良PPH术治疗的临床资料及随访结果。结果 128例患者均一次吻合成功,术中未出现1例粘膜下层血肿形成病例,术后脱出的痔核均完全回纳,经随访未出现复发病例,无一例外痔残留。结论单荷包波浪状缝合四点牵引改良PPH术治疗重度痔操作简单,并发症少,疗效可靠,值得推广应用。Objective To discuss the effect of reformed PPH with single wave-like purse string suture and 4 point＇s pull on severehemorrhoids. Methods An analysis was made to the clinical data and the follow-up of 128 cases with severe hemorrhoids treated by reformed PPH. Results The operations in the 128 cases were all successful with only one anastomosis, no case with submucosal hematoma was found in operation and complete reduction of hemorrhoid prolapsus was gained in all the cases after operation; follow-up showed no case of reoccurrence and no case with residual of external hemorrhoids. Conclusions Reformed PPH with single wave-like purse string suture and 4 point＇s pull is of simple operation, less complications and reliable curative effect, it is worthy of wide clinical application.

关 键 词：单荷包波浪状缝合法 四点牵引 改良PPH术 重度痔 

分 类 号：R657.1[医药卫生—外科学]