吻合器痔上粘膜环切钉合、肛垫复位术治疗Ⅲ—Ⅳ度内痔的临床观察

【作者】 罗励；

【导师】 赵自星；

【作者基本信息】 成都中医药大学 ， 中医外科肛肠， 2004， 硕士

【摘要】 目的：观察PPH手术治疗Ⅲ—Ⅳ度痔的临床疗效。 方法：将120例患者采用简单随机的方法分为试验组和对照组各60例；试验组采用PPH手术，对照组采用外剥内扎硬化注射术。观察2周，随访3月。 结果：两组有效率无明显差异，试验组有效率为98.3％，对照组为93.3％。但试验组术后脱垂物能很快回缩，术后疼痛、肛缘水肿、感觉性肛门失禁的发生率明显低于对照组(P＜0.01)；住院时间及恢复工作的时间较对照组有显著差异。 结论：PPH手术近期疗效优于传统手术，且在正确的手术操作下，痛苦小，恢复快，术后不适少，对肛门功能影响小，对手术者的要求较低。更多还原

【Abstract】 Objection To observe the clinic effect of PPH treating III-IV degree hemorrhoids.Methods One hundred and twenty cases admitted for surgical treatment were randomly classed for test group (PPH, n=60) and controlled group (external excision and internal ligation and sclerotherapy, n=60). All the cases were observed two weeks and followed up three months.Results The efficiency rate of the two group has no dominant indifference. The test group is 98.3% and the controlled group is 93.3%. The prolapse rapidly went back in few minutes after operation in PPH. The morbility of postoperative pain, edema of anal edge, anal sensory incontinence in PPH is dominantly lower to the controlled group (P<0. 01) . The hospitalization time and recovery time in PPH group is shorten to the controlled group.Conclusion The shorter-term outcome of PPH is superior to conventional operation’s, and the PPH has little postoperative pain, quickly recovery , little postoperative discomfort , little compression to anal function under the correct operation procedure.更多还原