PPH术中采用常规缝扎动脉搏动部位防止术后早期出血的临床意义

Clinical significance of suturing the artery conventionally in PPH to prevent post-operative hemorrhage

目的:探讨痔上黏膜环形切除钉合术(PPH)术中采用常规缝扎动脉搏动部位防止术后早期出血的临床意义。方法:对2006年2月～2008年10月我院收治的235例既往未曾行痔疮手术的Ⅲ、Ⅳ度内痔及反复出血的Ⅱ度内痔行PPH术,随机对其中126例患者术中常规缝扎动脉搏动部位,而未行上述操作的109例患者作为对照组,对比两者出现早期出血并发症的情况。结果:治疗组无一例出现术后早期排便滴血或因出血量大而再次手术止血,而对照组则有10例术后早期仍有排便滴血,3例因出血量大而再次手术止血。结论:PPH术中采用常规缝扎动脉搏动部位可以有效防止术后早期出血。

Objective： To investigate the clinical significance of suturing the artery conventionally in PPH to prevent post-operative hemorrhage. Methods： 235 patients with Ⅲ and Ⅳ hemorrhoids and Ⅱ frequent-bleeding hemorrhoids underwent PPH from February 2006 to October 9008. The 126 patients underwent suturing the artery conventionally were compared with the other 109 patients underwent PPH without sutnring the artery conventionally. The patients were selected randomly. Post-operative bleeding of cure group was compared with that of the other group. Results： No staxis or sever bleeding happened of patients in cure group. In control group, 10 patients got staxis bleeding and another 3 patients even got severe bleeding followed by the second operation. Conclusion： Suturing the artery conventionally in PPH is proved to be efficient to prevent post-operative hemorrhage.