吻合器治疗脱垂性内痔(附30例报告)  

Procedure for prolapse and hemorrhoids(PPH) in the treatment of prolapsed hemorrhoids:a report of 30 cases

作　　者：易彤波[1] 田小林[1] 戴凌[1] 

机构地区：[1]广西桂林医学院附院,广西桂林541001

出　　处：《临床医药实践》2003年第7期488-489,共2页Proceeding of Clinical Medicine

摘　　要：目的 :探讨利用吻合器通过直肠下端黏膜及黏膜下层环形切除 ,肛垫悬吊治疗脱垂性内痔的可行性和安全性。方法 :采用该术式治疗 3 0例 期、 期环形脱垂内痔患者 ,分析经 PPH治疗的临床资料。结果 :平均手术时间 15m in,术后平均住院 4d。 2 6例患者吻合后内痔立即完全回缩 ,4例手术后第 2天完全回缩。 3例术后第 1天～第 6天有便血 ,经保守治疗后好转。术后诉肛门部疼痛者 3例 ,尿潴留 5例。随访 10个月效果良好无复发。结论 :PPH治疗 期、 期环形脱垂性内痔是一种新技术 ,具有安全、显效、快捷、住院时间少、恢复快等优点 。Objective:To evaluate the efficacy of the procedure for prolapse and hemorrhoids(PPH) in the treatment of patients with prolapsed hemorrhoids.Methods:30 patients with Ⅲ or Ⅳ degree of circular prolapsed hemorrhoids were operated on by PPH and were analysed retrospectively.Results:The mean operation time was 15 minutes and mean postoperative hospital stay was 4 days.Hemorrhoids in 26 of the 30 patients disappeated immediately after operation and 4 days.Hemorrhoids in 26 of the 30 patients disappeared immediately after operation and 4 disappeared on the second day postoperatively.Postoperative bleeding was noted in 3 cases at the first and sixth day after operation,which was cured by conservative methods.3 patients complained local pain and 5 patients suffered from temporary urine retention after operation.Follow-upperiod lasting for 10 months showed no recurrence.Conclusion:PPH is a safe and effective treatment for severely prolapsed circular hemorrhoids at the third or fourth degree with the advantages of shorter hospitalization time and quicker recvery.However,thd long-term outcome remains to be identified.

关 键 词：吻合器 治疗 脱垂性内痔 直肠下端黏膜 

分 类 号：R657.18[医药卫生—外科学]