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目的 探讨吻合器痔上黏膜钉合术(简称PPH)治疗重度混合痔的临床应用价值。方法 自 2001年以来南方医科大学附属南方医院对 128例重度混合痔病人分别进行PPH(或加外痔修剪 )及外切内扎术,对两种术式疗效、手术时间、疼痛指数、住院时间、恢复工作时间、费用、并发症等进行全面的总结比较。结果 经 2~33个月随访,两组病人脱垂症状均消失,肛门缘无明显皮赘,效果满意。在手术时间、疼痛指数、住院时间、发生轻度肛门狭窄率方面,PPH组明显优于外切内扎组(P<0. 01)。结论 从避免并发症、减轻病人痛苦、提高病人生活质量方面来看,PPH是治疗重度混合痔尤其是内痔为主的环状痔病人的首选术式。
Objective To investigate the clinical value of stapler hemorrhoid and mucosal stapling (PPH) in the treatment of severe mixed hemorrhoids. Methods Since 2001, Southern Hospital of Southern Medical University, 128 cases of severe mixed hemorrhoids were treated with PPH (or external hemorrhoids pruning) and external ligation, the two kinds of surgical efficacy, operative time, pain index, hospital stay, Restore work time, costs, complications, etc. a comprehensive summary comparison. Results After 2 to 33 months of follow-up, the prolapsed symptoms disappeared in both groups, and there was no obvious skin flap on the anal margin with satisfactory results. In the operation time, pain index, hospital stay, mild anal stenosis rate, PPH group was significantly better than the extrinsic ligation group (P <0.01). Conclusion From the aspect of avoiding complications, relieving the patient’s suffering and improving the quality of patient’s life, PPH is the first choice for the treatment of patients with severe mixed hemorrhoids, especially internal hemorrhoids.