| 金龙,刘牧林.改良痔上黏膜环形切除钉合术治疗Ⅳ度痔200例临床分析[J].安徽医药,2019,23(2):333-336. |
| 改良痔上黏膜环形切除钉合术治疗Ⅳ度痔200例临床分析 |
| Clinical analysis of 200 cases of severe hemorrhoids treated with improved procedure for prolapse and hemorrhoids |
| 投稿时间：2016-12-28 |
| DOI： |
| 中文关键词: 改良痔上黏膜环形切除钉合术 常规痔上黏膜环形切除钉合术 Ⅳ度痔 效果观察 |
| 英文关键词: Improved PPH procedure Conventional PPH procedure Severe hemorrhoids Effect observation |
| 基金项目: |
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| 中文摘要: |
| 目的 对改良的痔上黏膜环形切除钉合术(PPH)手术方式治疗Ⅳ度痔的临床效果进行观察。方法 回顾性分析2011年1月至2015年12月蚌埠医学院第一附属医院200例行PPH术Ⅳ度痔病人的临床资料,根据手术方式不同分为常规PPH组100例,改良PPH组100例,将两组的手术耗时、住院周期、术中活动性出血发生情况、术后并发症(术后肛缘水肿、术后尿潴留、术后便血)发生率以及术后痔的复发率进行比较分析。结果 两组在手术耗时、住院周期、术中活动性出血发生情况、术后尿潴留及便血发生率之间差异无统计学意义(P>0.05)。改良PPH组术后肛缘水肿的发生率1.00%低于常规PPH组的11.00%,且术后改良PPH组痔复发0例,亦明显低于常规PPH组的13例,差异有统计学意义(χ2=8.865、13.900,P=0.003、0.000)。结论 改良PPH术能显著降低病人术后肛缘水肿发生率及术后复发率,值得临床采用。 |
| 英文摘要: |
| Objective To observe the clinical effect of improved procedure for prolapse and hemorrhoids (PPH) in the treatment of severe hemorrhoids.Methods The clinical data of 200 patients of severe hemorrhoids who were enrolled to receive improved procedure for prolapse and hemorrhoids in The First Affiliated Hospital of Bengbu Medical College from January 2011 to December 2015 were retrospectively analyzed.According to the different surgical methods,patients with severe hemorrhoids were assigned into conventional PPH group (n=100) and improved PPH group (n=100).The operation time,length of hospital stay,the incidence of intraoperative active bleeding,postoperative complications (postoperative perianal edema,urinary retention,postoperative hematochezia) and the incidence of postoperative recurrence of hemorrhoids of two groups were compared.Results The differences in operation time,length of hospital stay,the incidence of intraoperative active bleeding,the rate of urinary retention and postoperative hematochezia were not statistically significant (all P>0.05).The incidence of postoperative perianaledema in improved PPH group was lower than that in the conventional group (1.00% vs.11.00%),the recurrence rate in improved PPH group was significantly lower than that in the conventional PPH group (0 case vs.13 cases),and the differences were statistically significant (χ2=8.865,3.900,P=0.003,0.000).Conclusions The improved PPH procedure can significantly reduce the incidence of postoperative perianal edema and postoperative recurrence rate,and it is worth applying in clinical medicine. |
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