摘要
目的探讨吻合器痔上黏膜环切钉合术（PPH）联合外剥内扎术在重度环状混合痔中的临床疗效。方法选取2012年3月~2015年3月收治的重度环状混合痔患者80例,按随机数表法将患者分为对照组和观察组,每组40例。对照组行皮桥整形术手术方法;观察组行PPH联合外剥内扎手术。观察并统计不同手术措施对重度环状混合痔患者的各项有关指标、治疗有效率及并发症的情况。结果观察组患者在手术时间、术中出血量、住院时间和创面愈合时间等几个方面明显优于对照组,差异具有统计学意义（P〈0.05）;观察组患者术后疼痛、排便、肛门坠胀以及继发出血等的比例较对照组少,差异具统计学意义（P〈0.05）;观察组和对照组患者总治疗有效率分别为95.0%和77.5%,具显著差异（P〈0.05）;除尿潴留外,观察组出现水肿及感染明显少于对照组,差异具统计学意义（P〈0.05）。结论 PPH联合外剥内扎手术方式治疗重度环状混合痔患者能明显缩短手术和愈合时间,减少术中出血,改善术后疼痛、排便、肛门坠胀及水肿感染,临床治疗效果较好,可作为首选术式。
Objective To investigate the effect of PPH combined with Milligan Morgan and skin bridge plastic operation in severe circumferential mixed hemorrhoids.Methods 80 patients with severe circular mixed hemorrhoid were selected in our hospital from 2012 March to 2015 March,and randomly divided into control group（40cases）and observation group（40cases）.The control group underwent surgery for skin bridge plastic operation.The observation group underwent PPH combined with Milligan Morgan operation.The relevant indicators,the treatment effective rate and the incidence of complications were observed.Results The operation time,blood loss,hospital stay and wound healing time of the observation group were better than that of the control group.The difference was statistically significant（P0.05）.The proportion of postoperative pain,bowel,and anus fall swelling and hemorrhage in observation group were less than that of control group.The difference with statistical significance（P0.05）.The total effective rate of observation group and control group were 95.0% and 77.5%,respectively（P0.05）.The edema and infection of the observation group were significantly less than that of the control group,The difference with statistical significance（P0.05）.Conclusion The use of PPH combined with stripping internal ligation operation method can eliminate severe circular mixed hemorrhoid patients sick,which have a positive impact and obvious treatment effect.
出处
《西部医学》
2016年第7期932-934,938,共4页
Medical Journal of West China
基金
国家自然科学基金(81000183)
关键词
PPH联合外剥内扎手术
皮桥整形术
重度环状混合痔
临床疗效
PPH and Milligan Morgan surgery
Skin bridge plastic surgery
Severe circumferential mixed hemorrhoids
Clinical curative effect
