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目的 评价吻合器环形痔切除术 (PPH)治疗脱垂性内痔的优缺点。方法 利用环形吻合器 (HCS3 3 )对 2 6例Ⅲ、Ⅳ期环状脱垂性内痔进行手术治疗。结果 平均术后住院天数 3 .5d。平均手术时间 2 2min。术后 2 4h疼痛评价 18例无疼痛 (69.2 3 % ) ,8例轻度疼痛 (2 6.92 % )。术后48h评价疼痛效果 :2 0例无疼痛 (76.15 % ) ,6例轻度疼痛 (2 3 .85 % )。术后并发尿潴留 2 0例 (76.15 % ) ,下腹胀痛不适 6例 (2 3 .85 % ) ,大便次数增多 1例 (3 .85 % )。吻合口 4～ 5周痊愈 ,出院 1～ 3个月无复发。结论 PPH与传统手术相比具有手术简单、术后疼痛少、恢复快、复发低和并发症少的优点 ,缺点是治疗经费较高
Objective To evaluate the advantages and disadvantages of stapler ring hemorrhoidectomy (PPH) in the treatment of prolapsed hemorrhoids. Methods Surgical treatment of 26 cases of Ⅲ, Ⅳ annulotic prolapsed hemorrhoids was performed by using ring stapler (HCS3 3). Results The average postoperative hospital stay 3.5d. The average operation time 2 2min. At 24 hours after operation, pain was evaluated in 18 cases without pain (69.2%) and in 8 cases with mild pain (6.92%). Pain was evaluated at 48h after operation: 20 cases had no pain (76.15%) and 6 cases had mild pain (23.55%). Postoperative urinary retention 20 cases (76.15%), abdominal discomfort in 6 cases (23.5%), stool frequency increased in 1 case (3.85%). Anastomotic 4 to 5 weeks healed, no recurrence 1 to 3 months after discharge. Conclusion Compared with traditional surgery, PPH has the advantages of simple operation, less postoperative pain, rapid recovery, low recurrence and fewer complications. The disadvantage is that PPH