吻合器痔切除术治疗重度痔的临床应用(附86例报告)
吻合器,,痔;吻合器痔切除术,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨吻合器痔切除术(PPH)的适应证、方法和疗效。方法 分析评估应用PPH手术治疗86例Ⅲ、Ⅳ度环形脱垂内痔患者的临床资料。结果 平均手术时间20min、术后平均住院时间5天。术后当天需用止痛剂17例,轻微疼痛8例,无疼痛61例。无术后出血,随访2~10个月94例内痔完全回缩,2例有改善。结论 PPH手术治疗重度痔,具有安全有效、手术时间短、术后疼痛轻、住院时间少、病人术后恢复快等优点。【关键词】 痔;吻合器痔切除术
Clinical application of stapler hemorrhoidectomy in treatment of severe hemorrhoids:a report of 86 cases
ZHOU Erjin,LU Liping,LU Tao,et al.
Department of Coloproctologic,Central Hospital of Xuhui District,Shanghai 200031,China
【Abstract】 Objective To evaluate the efficacy of the procedure for prolapse and hemorrhoid(PPH)in the treatment of patients with severe hemorrhoids(grade Ⅲ-Ⅳ°)。Methods 86 cases of hemorrhoids at the third or fourth degree were operated on by PPH.Results The mean operation time was 20 minutes and mean hospitalization was 5 days.61 cases had no pain at the day of the operation hemorrhoid in 84 cases disappeared immediately after operation and 2 cases have an improvement.followup for 2~10 months showed no recurrence developed.Conclusion PPH is a safe and effective treatment for severe hemorrhoids with the advantages of less postoprative pain,shorter hospitalization time and quicker recovery. ......
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