吻合器痔上黏膜环切术治疗痔病75例体会

Stapled hemorrhoid treatment of mucous membrane of circumcision experience of 75 cases of hemorrhoids translated text

目的:总结吻合器痔上黏膜环切术(PPH)治疗痔病的经验,探讨该术式的有关问题,以便提高疗效。方法:回顾性总结了75例2006年8月～2009年4月间应用PPH治疗痔病患者的临床资料。结果:手术时间20～45min(平均29min),住院时间3～7d(平均4.9d)术后发生尿潴留32例(43%),术后疼痛较剧烈18例(24%),75例患者无大出血及肛门狭窄,术后症状改善满意者70例(93%),其余有效,随访6月～2年无复发。结论:①PPH简单易行,疼痛轻,住院时间短,效果好。②应在各个环节注意PPH疗效影响因素,以便改善PPH手术疗效。③对重度痔病可以PPH手术为主,配合其它常规手术,对于提高手术效果有很大的帮助。

Objective：To summarize the stapled hemorrhoid on the mucousmembrane circumcision（PPH）is the treatment of hemorrhoids of their experiences and explore issues related to the surgical in order to improve efficacy.Methods：A retrospective summary of 75 cases in August 2006 ～2009 years,in April between the application of PPH treatment of hemorrhoids in patients with clinical data.Results：The operative time was 20～45 minutes（average 29 minutes）,hospital stay 3～7 days（average 4.9 days）post-operative urinary retention in 32 cases（43%）,severe postoperative pain compared with 18 cases（24%）,75 patients without bleeding and anal stenosis,postoperative symptom improvement were satisfied with 70 cases（93%）,the remaining effective,follow-up in June-2 years without recurrence.Conclusion：（1）PPH is simple,pain,light,short hospital stay and effective（.1）attention to all aspects of PPH should be effective factors in order to improve surgical treatment of PPH.（3）with severe PPH Hemorrhoid surgery may be the main line with other conventional surgery,for improving the results of operations of great help.