吻合器痔上黏膜环切术联合外痔切除术治疗混合痔的临床疗效

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Abstract Objective: To explore the clinical curative effect of patients with mixed hemorrhoids who underwent the surgical treatment of procedure for prolapsed and hemorihoids (PPH) combined haemorrhoidectomy. Methods: Ninety-four patients with mixed hemorrhoid from Wenzhou Longwan First People’s Hospital in October 2013 to April 2016 were included. All of the 94 patients with mixed hemorrhoid were divided into treatment group (46 cases) and control group (48 cases). The treatment group underwent PPH combined haemorrhoidectomy, while the control group underwent Milligan-Morgan. Then the operation duration, intraoperative blood loss, postoperative wound bleeding, postoperative defecate difficulty, postoperative days of indwelling a urinary catheter, the postoperative pain scores of the anus, hospitalization cost and the follow-up of relapse, etc. were compared between two groups. Results: Two groups of patients all were discharged from hospital. Although in the operation time, postoperative days of indwelling a urinary catheter and hospitalization cost of treatment group were inferior to that in control group (P<0.05), but the intraoperative blood loss, postoperative wound bleeding, postoperative defecate difficulty, the postoperative pain scores of the anus and the follow-up of relapse, etc. of treatment group were superior to that in control group (P<0.05). Conclusion: The clinical effect and security of PPH combined haemorrhoidectomy is more higher than that of conventional surgical treatment in mixed hemorrhoids.

Key words： procedure for prolapsed and hemorihoids Milligan-Morgan hemorrhoids

Received: 15 November 2016

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	ZOU Liangwang
	XU Lijuan
	ZHANG Wei
	SHAN Yunfeng

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2017/V47/I10/762

[1] 姚礼庆, 唐竞, 孙益红, 等. 经吻合器治疗重度痔的临床应用价值(附36例报告)[J]. 中国实用外科杂志, 2001, 21(5): 288-289.
[2] 中华医学会外科学分会结直肠肛门外科学组, 中华中医药学会肛肠病专业委员会, 中国中西医结合学会结直肠肛门病专业委员会. 痔临床诊治指南(2006版)[J]. 中华胃肠外科杂志, 2006, 9(5): 461-463.
[3] MILLIGAN E T C, MORGAN C N, JONES L E, et al. Surgical anatomy of the anal canal, and the operative treatment of hemorrhoids[J]. Lancet, 1937, 230(5959): 1119-1124.
[4] 李春雨, 张有生. 实用肛门手术学[M]. 沈阳: 辽宁科学技术出版社, 2005: 112.
[5] 王晓峰. PPH术与外剥内扎术治疗环状混合痔临床疗效对比分析[J]. 临床医学, 2014, 34(12): 85-86.
[6] 杨程, 史仁杰. 混合痔的手术现状[J]. 大家健康(中旬版), 2015, 9(13): 284-285.
[7] LONGO A. Treatment of hemorrhoids discase by reduction of mucoss and hemorrhoidal prolapse with a circular suturing device: A new procedure[C]. Proceedings of the 6th world Congress of Endoscopic Surgery. Italy: Rome, 1998: 777-784.
[8] 杨新庆, 韩进. 吻合器痔上粘膜钉合术学术研讨会纪要[J]. 中华外科杂志, 2002, 40(10): 795-796.
[9] 卫江鹏, 刘刚. 吻合器痔上粘膜环切术相关问题的临床研究进展[J]. 中华结直肠疾病电子杂志, 2015, 4(1): 67-70.
[10] 徐庆生, 杨森, 罗国昌, 等. 吻合器痔上粘膜环切术治疗III~IV度内痔的临床分析[J]. 局解手术学杂志, 2011, 20(6): 691-692.
[11] 杨勇军, 赵自星, 杨艳, 等. PPH加硬注术与外剥内扎硬注术治疗老年人混合痔对比研究[J]. 第三军医大学学报, 2007, 29(6): 550-552.
[12] 许宝琨, 彭慧, 萧俊. 应用齿状线上直肠黏膜瓣切除法处理痔上黏膜环形切除钉合术后残余外痔或皮赘[J]. 中华胃肠外科杂志, 2006, 9(1): 79-80.
[13] 杨忠. PPH术和PPH术配合外痔切剥治疗环状混合痔比较[J]. 云南中医中药杂志, 2007, 28(2): 16-17.
[14] 李胜龙, 阮永兴, 尹廷宝, 等. 痔上黏膜钉合术术后复发1例[J]. 中国普通外科杂志, 2003, 12(8): 578.
[15] 王振军, 杨新庆. 关于两种不同方法的吻合器痔上黏膜钉合术手术方式的探讨[J]. 中华外科杂志, 2006, 44(1): 67-68.
[16] 张强, 陆金根, 曹永清. 痔上黏膜环形切除钉合术治疗痔疮的新进展[J]. 中国全科医学, 2008, 11(16): 1511-1512.
[17] BéLIARD A, LABBé F, de FAUCAL D, et al. A prospective and comparative study between stapled hemorrhoidopexy and hemorrhoidal artery ligation with mucopexy[J]. J Visc Surg, 2014, 151(4): 257-262.
[18] 徐昶, 左志贵, 宋华羽, 等. 吻合器痔上黏膜环切术106例术后并发症分析[J]. 温州医学院学报, 2007, 37(6): 580-582.
[19] 梁裕英. PPH术后并发尿潴留的原因分析及护理进展[J]. 护理实践与研究, 2015(1): 20-22.