摘要
目的对比研究吻合器痔上粘膜环切术(PPH,A组)与痔切闭术(B组)在重度痔病的治疗效果.方法对我院手术治疗的77例重度痔病患者(其中40例行痔上粘膜环切术,37例行痔切闭术)的病历资料进行了回顾分析,并对术中术后多项指标进行评估.结果两组患者手术时间分别是19.54min和13.01 min,术后24h疼痛平均评分分别是4.14和5.52,平均随访期为7月(3～15个月),术后1月内患者排便不适感B组略多于A组,两组均无大便失禁、复发、肛门狭窄发生.结论吻合器痔上粘膜环切术和痔切闭术手术方式简单有效、安全快捷、近期效果相近,远期效果有待观察.
Objective To assess the clinic efficacy of treating severe hemorrhoids by procedure for prolapse and hemorrhoids (PPH) and excision-closed hemorrhoidectomy.Methods 97 patients with severe hemorrhoids were operated by PPH (40 patients,group A) or excision closed hemorrhoidectomy (37 patients,group B).The case data of 97 patients were retrospectively analyzed and multiple indexes in operation and after operation were evaluated for both groups.Results the operation time was mean 19.54 minutes in group A and 13.01 minutes in group B,the pain mean scores at 24 hours after operation were 4.14 and 5.52 respectively.Mean follow-up period was 7 months (3～15 months).No incontinence,recurrence and anus stenosis were found in both groups.Conclusion Both of the operative technique are simple,safe, effective and rapid.The short-term effect is alike in both groups,but the long-term effect needs to be studied further.
出处
《河北医药》
CAS
2005年第7期487-488,共2页
Hebei Medical Journal
关键词
吻合器痔上粘膜环切术
痔切闭术
治疗
临床研究
痔疮
hemorrhoid
excision-closed hemorrhoidectomy
procedure for prolapse and hemorrhoids (PPH)
