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目的 探讨肛门镜下吻合器痔切除术 (PPH )的临床应用价值。方法 分析重度内痔 (Ⅲ度、Ⅳ度内痔 )经吻合器切除的诊治资料。结果 经肛门镜下采用 33mm吻合器切除重度内痔 36例 ,平均手术时间 10min ,术后平均住院 3 5天 ,6例术后第 2 7天有便血 ,经保守治疗后好转。 12例术后当天无肛门疼痛。随访 15个月效果良好。结论 经肛门镜下吻合器痔切除术是一种新技术 ,具有安全、有效、住院时间短和恢复快的优点 ,有望替代传统的手术治疗方法
Objective To investigate the clinical value of anolectomy hemorrhoidectomy (PPH). Methods The diagnosis and treatment of severe internal hemorrhoids (Ⅲ degree, Ⅳ degree hemorrhoids) by stapler resection. ResultsAmoy endoscopic resection of severe internal hemorrhoids with 33mm stapler 36 cases, the average operation time 10min, postoperative average hospital stay 35 days, 6 cases of postoperative day 27 have blood in the stool, after conservative treatment improved. There were no anal pain in 12 cases on the day after surgery. Follow-up of 15 months with good results. Conclusions Anorectal hemorrhoidectomy is a new technique which is safe, effective, short hospital stay and quick recovery. It is expected to replace the traditional surgical treatment