摘要
目的：比较吻合器痔上黏膜环切术（procedure for prolapse and hemorrhoids,PPH）与改良痔环切术（improved circular hemorrhoidectomy,ICH）对于环状混合痔的临床疗效。方法：将80例环状混合痔（Ⅲ~Ⅳ度）患者随机分为实验组（PPH组,40例）和对照组（ICH组,40例）,对手术近、远期疗效,并发症及住院费用等方面进行比较分析。结果：实验组在术中出血量、手术时间、术后住院时间及恢复工作时间、术后疼痛评分、肛门坠胀、尿储留、控便失调方面均少于对照组,治疗费用高于对照组,差异有统计学意义（P〈0.05）。2组在术后出血、肛门狭窄、总体有效率、患者满意度方面差异无统计学意义（P〉0.05）。随访12个月,实验组4例复发、对照组1例复发,差异无统计学意义（P=0.356）。结论：PPH治疗环状混合痔较改良痔环切术更为简单、安全,是一种微创手术,在控制费用的前提下,PPH值得临床推广应用。
Objective：To compare the clinical efficacy of procedure for prolapse and hemorrhoids（PPH）and improved circular hemorrhoidectomy（ICH）in circular mixed hemorrhoids treatment. Methods：Totally 80 patients with circular mixed hemorrhoids（Ⅲ-Ⅳ）were divided into two groups randomly with 40 patients in each group. The immediate and long-term outcomes,complications and cost were compared. Results：PPH group showed a reduction in blood loss,operating time,postoperative hospital stay,recovery time,the pain score,anus bulge,retention of urine and fecal incontinence,but an increase in cost compared with ICH group;the differences between the two groups were statistically significant（P〈0.05）. There was no statistically significant difference in the postoperative hemorrhage,anorectal stricture,overall efficiency rate and patient satisfaction（P〈0.05）. After 12 months of follow-up,four cases of recurrence in PPH group and one case in ICH group were observed,with no statistical difference between the two groups（P=0.356）. Conclusion：PPH is a simple and safe way for the treatment of circular mixed hemorrhoids,with less trauma and complications and no higher recurrence rate,compared with improved circular hemorrhoidectomy. On the premise of cost control,PPH is worth clinical application.
作者
高敏
朱鹏
唐云昊
Gao Min Zhu Peng Tang Yunhao(Department of Gastrointestinal Surgery, the Second Affiliated Hospital, Chongqing Medical Universit)
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2016年第12期1294-1297,共4页
Journal of Chongqing Medical University
关键词
吻合器痔上黏膜环切术
改良痔环切术
环状混合痔
临床疗效
procedure for prolapse and hemorrhoids
improved circular hemorrhoidectomy
circular mixed hemorrhoids
clinical efficacy
