吻合器痔环切术经肛引流应用观察

Observation of Application of Circular Stapler with Trans-anus Drainage

目的:探讨采用吻合器经肛管引流治疗重度痔降低术后并发症的影响。方法:随机将101例Ⅲ~Ⅳ期混合痔及内痔患者分为引流组48例和非引流组53例,回顾性分析两组施行PPH经肛引流及非引流术后的临床资料。结果:两组间数据比较伤口渗血(12h^48h)、排便异常指标,对照显示差异显著(P<0·05)。结论:该术式具有安全、有效、术时短、恢复快及术后并发症明显降低等优点。

Objective：To probe the effect of circular stapler （PPH） with trans-anus drainage in the treatment of severe hemorrhoids. Methods： 101 patients with Ⅲ or Ⅳ degree hemorrhoids were assigned randomizedly into two groups. Drainage （48 cases） group were drained by trans-anus tubes, and non-drainage group （53 cases） with no drainage tubes. Clinical data after PPH were analyzed retrospectively. Results： There were significant differences in capillary hemorrhage （12-48 h）, index of abnormal defecation between the two groups （ P 〈0.05）. Conclusion：PPH with anal drainage appears to be a safe, effective, and rapid procedure with less postoperative complications.