吻合器痔上黏膜环切术治疗III°～IV°痔病

The mucosal circumcision of superior hemorrhoid with anastomat in the treatment of Ⅲ°to Ⅳ°hemorrhoids

目的探讨吻合器痔上黏膜环切术治疗痔病的临床应用价值。方法回顾总结了吻合器痔上黏膜环切术治疗96例III°～IV°痔病的临床资料。结果平均手术时间为15min,术后平均住院时间2.3d。术后恢复正常生活的平均时间为6.8d。术后出血2例。术后6周随诊78例(81.25%),对术前症状控制满意程度:满意者90例(93.75%),基本满意4例(4.17%),不满意2例(2.08%)。无排便失禁、无肛门狭窄。结论吻合器痔上黏膜环切术具有安全、有效、手术时间短、住院时间少、恢复快等优点,是治疗重度痔病近期疗效优越的新技术。

Objective To investigate the value of clinical application of the mucosal circumcision of su-perior hemorrhoid with anastomat for treating theⅢ°toⅣ°hemorrhoids. Methods The clinical data of96cases performed mucosal circumcision of superior hemorrhoid with anastomat were analyzed retrospectively. Results The average time for patients restored to normal activity was6.8days.Two patients had postoperative bleeding.78patients had been followed up to6weeks since after operation.90patients(93.75%)was satisfactory to the ther-apeutic efficacy.No fecal incontinence and anal stricture were found. Conclusion This procedure is an excellent new technique for treating the severe hemorrhoids.It has many advantages that are safe,effective,shortening oper-ative time and hospitalization time,etc.[