国产吻合器与强生吻合器痔手术临床疗效比较

Comparison on the Clinical Effects Between Domestic Stapler and Johnson Srapler in PPH

为观察国产重复使用吻合器行PPH与强生吻合器行PPH治疗Ⅲ、Ⅳ期混合痔的临床疗效，将60例混合痔患者应用国产重复使用吻合器行PPH为治疗组，以2003年田素礼等发表的使用强生吻合器行PPH（64例）与外剥内扎术（60例）的疗效对比组分别为对照A、B组，将其疗效进行对比分析研究。结果显示，治疗组与对照A组在手术时间、住院时间、疼痛持续时间、恢复正常工作生活时间、肛门失禁、并发症、术后复发等方面均无显著性差异（P〉0．05）；治疗组在上述几方面均优于对照B组（P〈0．01，P〈0．05）。结果表明，国产重复使用吻合器行PPH与强生吻合器行PPH同样较之传统手术均有明显优势，且安全、有效，较之使用强生吻合器节省费用。

For observing the clinical effects of domestic repeatedly used stapler PPH and Johnson stapler PPH for Ⅲ or Ⅳ degree mixed hemorrhoids. The 60 patients with mixed hemorrhoids were in treatment group of domestic repeatedly used stapler PPH;64 patients to be received Johnson stapler PPH,which was published by Tian Su-li,et al. in 2003 yr. were in controlled group A;60 patients to be reeevied external dissection ＆ internal ligation were in controlled group B;their clinical effects were compared and analysed. As results,there were no significant difference between treatment group and controlled group A in operating time, hospital stay, continuous time of pain, recovery work and life time, incontinence of anus, postoperative complication,recurrence after operation（ P 〉0.05） ;there were significant differences（ P〈0.01, P 〈0.05） between treatment group and controlled group B in those which are above-mentioned. Results show that domestic repeatedly used stapler PPH and Johnson stapler PPH have more supremacy than traditional operation, and are more safe, effective. In another hand, domestic repeatedly used stapler is cheaper than Johnson stapler.