摘要
目的 探讨吻合器直肠下段粘膜环形切除术 (Procedureforprolapseandhemorrhoids ,PPH )治疗重度脱垂性内痔的方法和疗效。方法 利用吻合器通过直肠下段粘膜环形切除、肛垫悬吊治疗 3 2例Ⅲ、Ⅳ度环形脱垂性内痔 ,其中男性 2 2例 ,女性 10例 ,平均 42 5岁。结果 手术时间平均 9 2min ,术后住院时间平均 3 3d ,18例术后当日有肛门疼痛 ,6例尿潴留 ,7例术后 3～ 6d有便血 ,经保守治疗后好转 ;随访 2～ 10个月 ,情况良好。结论 PPH治疗重度痔具有手术简单、住院时间短、术后并发症少、治愈率高等特点 。
Objective To evaluate the therapeutic efficacy of the circumferential procedure for prolapsed hemorrhoids (PPH) in the treatment of third or fourth degree hemorrhoids Methods A total of 32 patients with Ⅲ or Ⅳ degree of circular prolapsed hemorrhoids received operation of PPH The mean age of the patients was 42 5 years old with hemorrhoids history of 5 42 years Results The mean operating time was 9 2 minutes and hospital stay was 3 3 days after operation Eighteen patients complained of local anal pain and 6 patients suffered from temporary urine retention after operation Postoperative bleeding was found in 7 cases on days 3 and 6 after operation, but it was cured by conservative methods No complications were found during the follow up of 2～10 months Conclusion PPH is a safe and effective treatment for hemorrhoids at the third and fourth degree with the advantages of shorter time of inpatient stay and earlier return to normal activity and quicker recovery However, the long term outcome remains to be identified
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2003年第10期901-902,共2页
Journal of Third Military Medical University
关键词
内痔
外科手术
吻合器
hemorrhoids
surgical procedures
anastomat
