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1、PPH术和Milligan术治疗重度痔142例临床比较分析【关键词】PPH【摘要】目的比较分析PPH术与传统Milligan术治疗重度痔(III、IV期)的临床效果。方法142例III、IV期痔患者，男82例，女60例，PPH术治疗组72例(PPH组),Milligan术治疗组70例(Milligan组)。结果手术吋间PPH组(16.08+4.52)min,Milligan组(30.24±7.54)min,P<0.01。术中出血PPH组(20.42土&43)ml,Milligan组(38.42±9
2、.47)ml,Pv0.05。术后使用止痛药,PPH组8例(11.11%),Milligan组14例(20%),PvO.Ol。尿潴留PPH组18例(25%),Milligan组14例(20%),P>0.05。住院时间PPH组(4.22±1.24)d,Milligan组(7.42±3.43)d,PvO.Ol。患者满意度,PPH组98%,Milligan组96%,P>0.05。复发率PPH组4例(5.56%),Milligan组6例(&57%),P>0.05。肛门狭窄PPH组2例(2.78%),Mill
3、igan纽.8例(11.43%),P<0.01o结论PPH治疗皿、IV期痔具有手术时间短、术后疼痛轻、恢复快、并发症少等优点，将成为重度痔的首选治疗方法。关键词PPH痔痔切除术TheprocedureforprolapseandhemoirhoidsandMilliganhemorrhoidectomyR)rl42patientswithhemorrhoids:aclinicidcomparativestudyFanYingfang,HuangZonghm,FangChihuaDepartment
4、ofGeneralSurgery,ZhujiangHospitalAffiliatedtoNanfangMedicalUniversity.Guangzhou510282.[Abstract]ObjectiveToevaluatetheefficacyandsafetyofMilliganhemorthoidectomyandprocedureforprolapseandhemorrhoids(PPH).Methods142patientswithprolapsedhemorrhoidsIILIV
5、degreewererandomlydividedintoPPHgroupandMilligangroup.72patients(44menand28women)withanaverageageof(46.6+13.4)yearsunderwentPPH.70patients(38menand32women)withanaverageageof(48.6±14.4)yearsunderwentclassicMilligantechnique.Postoperativedatawascollecte
6、dincludingtheoperationtime,thebloodloss,thede-greeofpain,urinaiyretention,hematoma,postoperativestay,patientsatisfactorydegree,recurrencerate,rehabilita-tiontimeorpostoperativecomplications.ResultsInPPHgroup,67patients(93.2%)wereperformedwithPPH,while
7、5patientswerecarriedoutbyMilligantechniquebecauseofulcerativehemorrhoid.Thebloodlosswere(20.42±8.43)mland(38.42±9.47)mlrespectively(P<0.05).Theoperationtimewere(16.08±4.52)minand(30.24±7.54)minrespectively(P<0.01).Postoperationbleedingratewithin3daysw
8、as38.89%and25.71%respectively(P<0.01).Therateofpostoperativemoderate-severepainrequiredanalgesicswas11.1%and20%respectively(P<0.01)・Urinaryretentionratewas25%and20%respectively(P>0.05).Thepostoperativestaywere(4.22±1.24)daysand(7.42±3.43)daysr
