手缝PPH与传统外剥内扎术的对比研究

Comparative Research on Hands-sewing PPH and Traditional Internal-peeling External Ligation Operation

[目的]探讨手缝PPH治疗痔的疗效。[方法]将124例痔疮患者随机分为60例手缝PPH组与64例脱垂痔用传统切除术的对照组,观察比较两组手术时间、术后各种并发症的发生、住院时间、住院费用、恢复时间、复发等情况。[结果]两组手术时间无显著差异(P>0.01),手缝PPH组肛门疼痛、出血、住院时间均明显低于对照组(P<0.01或P<0.05),且随访10月,未见复发。[结论]手缝PPH具有操作简便、安全可靠、费用低廉、并发症少、恢复快等优点,是一种治疗重度痔的有发展前途的方法,值得临床推广使用。

[Objective] To observe the cure effect of hands-sewing PPH on naevus. [Method] Randomly divide 124 cases into 60 cases of PPH group and 64 of control group of prolapse naevus treated with traditional resection; observe both operation time, post-operation complications, in-hospital time and fee, recovery time and recurrence. [Result] There＇s no marked difference between both operation time（P〈0.01）, the anus pain, bleeding and in-hospital time in PPH group are much lower than control group（P〈0.01 or P〈0. 05） ; there＇s no recurrence after being followed up. [Conclusion] Hands-sewing PPH has advantages of simple operation, safety and reliability, cheapness, little complications and quick recovery, is a method with developing future for severe naevus, worthy clinical promotion.