摘要
目的探讨吻合器痔上黏膜钉合术(PPH)术后并发症的原因和对策。方法2000年7月至2004年10月对504例Ⅲ、Ⅳ度内痔病人行PPH术,分析术后发生并发症的原因及对策。结果504例病人的平均手术时间为9min;术后1d疼痛的发生率为20.5%,出血发生率为5.7%;1个月以后(5~12周)再出血率为10.9%(55/504)。3例出现吻合口狭窄,分别发生在术后1、3和9个月。平均随访时间为(42.4±6.6)个月,随访率为91.4%(455/498),2例严重的内痔病人作了再次PPH术,其余病人均无复发。结论只要能正确处理并发症,PPH具有手术时间短、创伤小、恢复快、并发症少等优点,是治疗重度内痔的理想方法。
Objective To assess the reasons and countermeasure of the complications after procedure for prolapse and haemorrhoids (PPH). Methods Five hundreds and four cases of Ⅲ-and Ⅳ-degree haemorrhoids were treated with PPH from July 2000 to October 20(0. The reasons and countermeasure of the complications were analyzed. Results Of the 504 patients,the mean operation time was 9 min. in the next day after procedures, pain rate was 20. 5% and the bleeding rate was 5.7%. 10. 9% (55/504) of patients had re-bleeding 7w (5 - 12w) after procedures. Only 3 patients were found stricture in the rectum 1,3 and 9 months after the procedure. In 455 followed-up patients (455/498,91.4%) ,there were only 2 severe patients had twice of procedure and no recurrence in other patients. Conclusion PPH is effective, safe, minimal invasive method and is the ideal choice to treat severe haemorrhoids.
出处
《中国实用外科杂志》
CSCD
北大核心
2006年第3期222-224,共3页
Chinese Journal of Practical Surgery
关键词
吻合器痔上黏膜钉合术
内痔
Procedure for prolapse and haemorrhoids
Internal haemorrhoid