pph与外剥内扎术治疗环状混合痔疗效对比分析

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1、PPH与外剥内扎术治疗环状混合痔疗效对比分析莫国威潘银瑞覃兴尤陈梓杰（江门市新会区中医院肛肠科，江门529100）【摘要】目的探讨PPH（procedureforprolapseandhemorrhoids）与外剥内扎术手术方法治疗环状混合痔的临床效果。方法选取2001年11月～2011年10月间在我院住院治疗的环状混合痔患者200例，随机分为PPH组和外剥内扎手术组，观察两组患者术中、术后一般情况及并发症发生情况。结果PPH组手术时间、住院时间、恢复工作时间明显短于外剥内扎组，两者比较差异具有统计学意义(P＜0.05)。PPH组术后疼痛指数、

2、尿潴留、便中带血及肛门狭窄发生率明显少于外剥内扎手术组，两者比较差异具有统计学意义(P＜0.05)。PPH组手术总有效率优于外剥内扎组，两者比较差异具有统计学意义(P＜0.05)。结论PPH治疗环状混合痔具有外剥内扎方法无法比拟的优点，值得应用。【关键词】PPH；外剥内扎术；环状混合痔ComparativeAnalysisonCurativeEffectofPPHandProcedureofexternaldissectionandinternalligationinTreatingCircularMixedHemorrhoidMOGo-wei

3、,PANYin-rui,TANXing-you,CHENZhi-jie(DepartmentofProctologyofXinhuiChinese-TraditionalMedicaHospitalofJiangmen,Jiangmen529100,China)【Abstract】ObjectiveToinvesgatethecurativeeffectofprocedureforprolapseandhemorrhoidsandprocedureofexternaldissectionandinternalligationintreating

4、circularmixedhemorrhoid.Methods200caseswithcircularmixedhemorrhoidswerediviededintothePPHgroupandtheprocedureofexternaldissectionandinternalligationgroup,thegeneralstateofhealthinandafteroperation,complicationswereobserved.ResultsThetimeofoperation，stayandreturningtoworkinth

5、ePPHgroupwerefewerthanthoseintheprocedureofexternaldissectionandinternalligationgroup,andtherewassignificantdifferencebetweentwogroups(P＜0.05).Therateofpainindexafteroperation,urineretention,bleedattachtosedesandanalstrictureinthePPHgroupwerefewerthanthoseintheprocedureofext

6、ernaldissectionandinternalligationgroup,andtherewassignificantdifferencebetweentwogroups(P＜0.05).ThetotaleffectivenessinthePPHgroupsurpassesthoseintheprocedureofexternaldissectionandinternalligationgroup,andtherewassignificantdifferencebetweentwogroups(P＜0.05).ConclusionPPHi

7、ntreatingcircularmixedhemorrhoidissuperiortoprocedureofexternaldissectionandinternalligation,whichisworthyofclinicalapplication.【Keywords】PPH;Procedureofexternaldissectionandinternalligation;Circularmixedhemorrhoid痔疮(haemorrhoids)是肛肠外科的常见病、多发病。临床上常可出现肿痛、瘙痒、流水、出血等症状。环状混合痔是痔疮发

8、展的最后阶段，因水肿充血、疼痛剧烈等原因严重影响患者的工作和生活。外剥内扎手术治疗往往存在术后肛门狭窄、严重疼痛等并发症，而且复发率较高，限制了其在临