PPH术与外剥内扎术治疗混合痔的疗效分析

The effect of PPH and milligan-morgan hemorrhoidectomy surgery in the treatment of combined hemorrhoids

目的 比较吻合器痔上黏膜环切钉合术（PPH）与外剥内扎术治疗混合痔的临床疗效.方法 将2008年1月～2010年3月笔者所在医院收治的88例混合痔随机分为A组（PPH组）和B组（对照组）,各44例,分别进行PPH术、外剥内扎术,对两组患者手术的出血量、疼痛程度、手术时间、住院时间及有无排尿困难等进行比较.结果 通过对出血量、疼痛程度、手术时间、住院时间进行比较分析,A组均明显优于B组（P=0.001）,排尿困难两组比较差异无统计学意义.结论 PPH术是治疗痔的一种有效方法,与传统方法相比,具有出血少、手术时间短、住院时间短、患者痛苦小的优点.

Objective To compare the clinical curative effect of PPH and milligan - morgan hemorrhoidectomy surgery on combined hemorrhoids. Methods 88 patients with combined hemorrhoids were randomly divided into group A （ PPH group,44 cases） and group B （Milligan- Morgan group,44 cases） and were treated with respective operation from January 2008 to March 2010 in our hospital. The amount of bleeding, the degree of pain, the duration of the operation,the time of hospital stay and postoperative dysuria were compared between two groups. Results By making a comparative analysis of the amount of bleeding,the degree of pain ,the duration of the operation,the time of hospital stay. Group A was significantly superior to group B （P = 0. 001 ）. However, there was no statistical significance in postoperative dysuria. Conclusion The PPH is an effective treatment of hemorrhoids with less bleeding, the operative time short, shorter hospital stay, and less pain characteristics.