【作者】 殷红专；

【导师】 苏琪；

【作者基本信息】 中国医科大学 ， 外科学， 2004， 硕士

【摘要】 目的 探讨吻合器痔上粘膜环切术(procedure for prolapse and hemorrhoids，PPH)的适应证、方法、临床应用价值及与传统Milligan-Morgan(外剥内扎)术比较有何种优点。 方法 总结30例PPH手术(Ⅰ组)和30例Milligan-Morgan手术(Ⅱ组)，分别对其手术时间、术后疼痛指数、住院时间、并发症及住院费用等进行对比研究。 结果 Ⅰ组手术时间、术后疼痛指数、住院时间明显少于Ⅱ组，Ⅰ组住院费用高于Ⅱ组，早期轻度大便失禁等的并发症发生率Ⅰ组明显少于Ⅱ组。 结论 PPH治疗Ⅲ°—Ⅳ°痔的近期疗效优于Milligan-Morgan手术，且具有安全、有效、手术时间短、住院时间少、恢复快等优点。更多还原

【Abstract】 Objective: To evaluate the efficacy of the procedure for prolapse and hemorrhoid (PPH) in the treatment of patients with severe hemorrhoids (grade III IV), whether to take advantage of Milligan-Morgan operation.Methods: 30 cases(group I) of hemorrhoids at the third or fourth degree were operated by PPH and other 30 cases(group II) by Milligan-Morgan. Compare the operating time, hospitalization time, complications and the cost of these two groups.Results: Except for the cost , the group PPH is much better than the Milligan -Morgan group in terms of operating time, pain index, length of hospital stay. For complications, the incidence of occurrence of anal discharge in group I is much lower than that of group II.Conclusion: PPH is a safe and effective procedure for III, IV hemorrhoids and its shorter term outcome is better than Milligan- Morgan procedure.更多还原