摘要
目的:比较痔上黏膜环切钉合术(PPH)与传统外剥内扎术(Milligan-Morgan,M-M)治疗重度痔的近远期疗效。方法:收集因重度痔(Ⅲ°～Ⅳ°痔)行PPH术的80例患者和因重度痔(Ⅲ°～Ⅳ°痔)行MM术的93例患者的临床资料及术后随访资料,系统的比较两组患者的手术时间、住院时间、住院费用、创面愈合时间、术后疗效和并发症及复发等情况。结果:两组在手术时间、住院时间、住院费用、创面愈合时间、术后肛周疼痛及排便困难的缓解及术后疼痛、出血、肛缘水肿、肛门狭窄发生间的差异均具有统计学意义P<0.05～P<0.01);两组在术后便血、肿物脱垂的缓解、术后肛门坠胀和肛门控便能力下降的发生及复发间的差异均无统计学意义(P>0.05)。结论:PPH治疗重度痔的近期疗效明显优于M-M手术,但长期疗效尚需进一步随访。
Objective:To compare the therapeutic effects of severe hemorrhoids between procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan (M-M) hemorrhoidectomy.Methods:One hundred and seventy-three patients with grade Ⅲand Ⅳhemorrhoids were followed up,and divided into PPH (n=90) and M-M (n=93) group.Operating time,hospital stay,hospital expenses,wound healing time,treatment efficiency and postoperative complications as well as re-currence in each group were compared .Results:The differences of the time of operation and hospitalization stay ,hospitaliza-tion expense,wound healing time,incidence of post operation morbidity rates (pain,bleeding,anus edema,anal stenosis) and between PPH and M-M group were statistically significant (P<0.05 to P<0.01).The differences of recurrence and short-term complications in each group presented no statistical difference (P>0.05).Conclusion:PPH presents signifi-cantly better therapeutic effect on severe hemorrhoids compared with Milligan-Morgan.However,the further study of long-term outcomes will be required .
出处
《农垦医学》
2014年第1期11-14,共4页
Journal of Nongken Medicine
关键词
痔
吻合器痔上黏膜环形切除术
外剥内扎术
Hemorrhoids
Procedure for Prolapse and Hemorrhoids (PPH)
Milligan-Morgan Hemorrhoidectomy
