吻合器痔上黏膜环切术(PPH)及其术后出血的处理

Procedure for Prolapse and Hemorrhoids and Countermeasure of Postoperative bleading

目的 :探讨吻合器痔上黏膜环切术 (PPH)对重度痔的治疗及双腔导尿管在术后止血中的临床价值。方法 :总结 95例重度痔的吻合器痔上黏膜环切术的临床资料。结果 :PPH治疗重度痔 95例 ,平均手术时间 2 0 min,术后平均住院日为 2 .7d。术后吻合口出血 5例 ,双腔导尿管压迫止血 4例。结论 :PPH治疗重度痔具有安全 ,术程短 ,无复发 ,恢复快等优点。双腔导尿管压迫止血对于 PPH术后大出血治疗具有明显效果 ,简单易行。

Objective To evaluate andanalyze the postoperative complications induced from the operative of procedure for prolapse and hemorrhoids(PPH).Methods Analyzing the data of the third or fourth degree hemorrhoids operated by procedure for prolapse and hemorrhoids.Results Total 95 patients with third or fourth degree hemorrhoids were operated on by PPH, and the mean operative time was 20 minutes and mean postoperative hospital stay were 2.7 days. Postoperative bleeding was found in 5 cases.4 cases complicating anastomotic stoma bleeding were succeed to tamponed to hemostasis by using double channel ballonet catheter.Conclusion The procedure for prolapse and hemorrhoids(PPH) was safe, effective and rapid, and using double balloonet channel catheter to tampon the bleeding anastomotic stoma is an appreciable way.