减少及防止PPH早期吻合口出血6例临床分析

Reducing or Preventing Early Stoma Bleeding from PPH.An Analysis of 12 Cases

为探讨预防或减少吻合器痔上黏膜环切术（PPH）吻合口早期出血的操作技术，将12例PPH患者分为早期病例组（手术方法改进前病例）6例和后期病例组（手术方法改进后病例）6例，观察术后早期出血病例与原因。结果显示，早期病例组吻合口术中出血1例（16．6％），术后吻合口出血1例（16．6％），后期病例组无术中和术后吻合口出血，两组有显著性差异（P〈0．05）。结果表明，操作技术改进后的PPH对减少术中出血及防止术后出血有积极作用。

In order to search for the manipulation to prevent or reduce early stoma bleeding after PPH,au- thor divided the 12 patients to be received PPH into early cases group（i, e,case group before procedure improvement） and later case group（i, e case group after procedure improvement）,6 cases,per group;then observed their postoperative early bleeding and analysed the cause. As results,in the former group,1 ease（16. 60%） occured intraoperative bleeding, 1 case （16. 6%） occured postoperative bleeding, while in the later group no case occured. There was significant difference of both groups（ P 〈0.05）. These indicate that improving manipulation has an active role for reducing intraoperative bleeding or preventing postoperative bleeding.