摘要
为探讨一次性使用吻合器与可重复使用吻合器在吻合器痔上黏膜环切术（PPH）中的效果，将206例重度痔（Ⅲ，Ⅳ期）患者分为Ⅰ，Ⅱ两组，分别使用一次性吻合器和可重复使用吻合器行PPH，根据疗效评定标准进行对比分析。结果显示，使用不同的吻合器，术中出现机械故障、切割不全、切除圈黏膜宽度、并发症（术中吻合口出血、术后肛门疼痛、术后感染、术后吻合口狭窄）及疗效，两组差异有统计学意义（P〈0．05），治愈率和复发率差异无统计学意义（P〉0．05）。结果表明，使用两组吻合器的治愈率和复发率无差异，可重复使用吻合器具有价格低廉的优点，而使用一次性吻合器比重复使用吻合器更安全，并发症少，可酌情选用。
The objective of the study was to evaluate the therapeutic efficacies in PPH disposable using sta pler（OUS） and repeatedly using stapler（RUS）. Two hundreds and six patients with severe hemorrhoids（ Ⅲ and Ⅳ stages） were divided into two groups. Patients in the study group underwent PPH with DUS,while patients in the control group with RUS. The therapeutic results were analyzed. As results, there was statistical differences in intraoperative mechanical fault,incomplete resection, thickness of the mucosa at the incision ring and complications（intraoperative bleeding,postoperative anal pain,infection, stricture） and thera- peutic efficacy（ P 〈0.05） ,while there was no statistical differences in cure rate and recurrence rate in the two groups（ P 〉0.05）. It is concluded that both using staplers are all right,while the disposable using stapler is safer and of less complications,and the repeatedly using stapler is of less cost.
出处
《中国肛肠病杂志》
2010年第9期16-17,共2页
Chinese Journal of Coloproctology
