用PPH治疗痔疮合并直肠黏膜脱垂的效果探讨  

Treatment of hemorrhoids with prolapse of rectal mucosa by PPH

作　　者：王玉华 Wang Yuhua(shuangliu district hospital of traditional Chinese medicine of chengdu city,Chengdu Sichuan 610200)

机构地区：[1]成都市双流区中医医院

出　　处：《当代医药论丛》2019年第20期13-15,共3页

摘　　要：目的:分析用吻合器痔上黏膜环状切除术(PPH)治疗痔疮合并直肠黏膜脱垂的临床效果.方法:从2015年9月至2018年2月期间在成都市双流区中医医院就诊的痔疮合并直肠黏膜脱垂患者中选取102例患者为研究对象.将其随机分为对照组和观察组.采用传统的外剥内扎术对对照组患者进行治疗,采用PPH对观察组患者进行治疗.治疗结束后,对比两组患者的临床疗效、术后疼痛的程度、术后并发症的发生情况及病情的复发情况.结果:与对照组患者相比,观察组患者治疗的总有效率较高,其中术后疼痛程度为Ⅰ度患者的占比较高,为Ⅱ度、Ⅲ度患者的占比较低,其术后并发症的总发生率及病情的复发率均较低,P<0.05.结论:采用PPH治疗痔疮合并直肠黏膜脱垂的效果确切,可显著缓解患者术后的疼痛,降低其术后并发症的发生率和病情的复发率.Objective:To analyze the clinical effect of stapling superior hemorrhoid mucosa ring resection(PPH)for hemorrhoid complicated with rectal mucosa prolapse.Methods:from September 2015 to February 2018,102 patients with hemorrhoid complicated with rectal mucosal prolapse were selected as the study subjects.They were randomly divided into control group and observation group.Patients in the control group were treated with traditional external stripping and internal ligation,and patients in the observation group were treated with PPH.After the treatment,the clinical efficacy,postoperative pain,postoperative complications and recurrence of the two groups were compared.Results:compared with control group patients,the observation group the total effective rate of treatment is higher,the degree of postoperative pain for patients I degrees of is higher,for patients with Ⅱ,Ⅲ degrees of low,the general incidence of postoperative complications and the recurrence rate of the disease are also low,P<0.05.Conclusion:PPH is effective in treating hemorrhoid complicated with rectal mucosa prolapse,which can significantly relieve postoperative pain,reduce the incidence of postoperative complications and recurrence rate of the disease.

关 键 词：痔疮 直肠黏膜脱垂 吻合器痔上黏膜环状切除术 外剥内扎术 

分 类 号：R657.18[医药卫生—外科学]