PPH治疗重度环状混合痔68例的诊治体会

Clinical analysis of 68 cases of PPH treatment for ring-like hemorrhoid

目的：探讨购合器痔上黏膜环间切除钉合术（Procedure或for prolapsed and bemorrhoids，PPH）术治疗重度环状混合痔的临床应用。方法：回顾我院2004年1月-2007年1月PPH治疗Ⅲ～Ⅳ度的环状混合痔患者68例临床资料。结果：术后肛门平整无水肿，排便后未见痔核脱出及肛门异物感，无肛管缩小和肛门狭窄。结论：结果表明环状混合痔可采取PPH加痔核部分切除术，疗效满意。切实可行。

Objective：To investigate the clinical application of PPH plus external hemorrhoidectomy in the treatment of hemorrhoids. Methods：Sixty-eight cases of Ⅲ-Ⅳ degree Ring-like mixed hemon＇hoids treated by PPH from January 2004 to January 2007 were respectively reviewed. Results：A post operation follow-up found no anus incontinence, stenosis of stoma and recun＇ence. Conclusion：PPH plus external hemorrhoidectomy can widen the indications for PPH and improve patients＇ satisfaction.