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目的探讨吻合器痔上粘膜环切术(PPH)后内痔复发，再次使用PPH治疗的可行性，并对PPH术后痔疮复发原因进行初步探讨。方法对2008年12月~2014年2月间广州中医药大学第一附属医院肛肠科收治的31例PPH术后内痔复发患者再次行PPH治疗，回顾性分析再次手术的效果及初次手术后复发的原因。结果所有的复发患者经再次PPH术后均得到治愈，随访时间从6~24月不等，无患者再次出现痔疮复发，其中1例患者因术后9d出现吻合口出血再次入院，经治疗后痊愈，其余患者未出现严重的术后并发症。结论对于PPH术后复发的内痔，可以根据脱垂情况再次选择PPH治疗，手术效果满意且不增加并发症出现的概率。对于PPH术后复发的原因可能和患者便秘及初次手术的吻合口位置有一定关系。“,”Objective To investigate the application of repeated stapled hemor hoidopexy for recur ent hemor hoids after procedure for prolapse and hemorrhoids,and to discuss the reasons for the recur ence of hemorrhoids after PPH.Methods Data of 31 patients with recur ent hemor hoids after PPH between December 2008 to February 2014 had accepted repeated stapled hemor hoidopexy . Retrospectively analyzed the ef ect of repeated surgery and the reasons of recur ence.Results Al the patients were cured by repeated surgery,postoperative fol ow-up ranged from 6 to 24 months and no recur ence was found.One patient admit ed to hospital again because of anastomotic stoma bleeding,no other patients were found with serious complications after surgery.Conclusion Repeated stapled hemor hoidopexy is a safe and ef ective method for patients with recur ent hemorrhoids after procedure for prolapse and hemor hoids.The recur ence may relate to constipation and the position of anastomotic stoma in first surgery.