期刊文献+

痔切除吻合器痔上黏膜环切术在脱垂性痔中的应用分析 被引量:1

下载PDF
导出
摘要 目的分析比较应用PPH与传统手术方法治疗脱垂性痔的临床疗效,探讨PPH在临床治疗中的应用价值。方法回顾性分析笔者所在医院在2008年11月~2010年12月收治的混合痔和内痔的800例患者资料,均为脱垂性痔,使用内镜确诊。使用PPH方法治疗脱垂性痔的患者为实验组,传统手术方法治疗脱垂性痔的为对照组。结果实验组中有268例混合痔患者,治愈247例,显效21例;有178例内痔患者,治愈178例,术后患者发生并发症的比例为1.1%;对照组中有190例混合痔患者,治愈179例,显效11例;133例内痔患者,治愈126例,显效7例;术后患者发生并发症的比例为4.1%。实验组与对照组的并发症发生率比较,差异有统计学意义(P<0.05)。结论采用PPH治疗脱垂性痔的临床效果比传统的治疗方法好,操作简便,不易引发并发症,患者恢复时间短,值得在临床上广泛应用。
作者 韩文才
出处 《中国医药科学》 2011年第22期178-178,189,共2页 China Medicine And Pharmacy
  • 相关文献

参考文献8

  • 1高显华,傅传刚,Paul Fallah-wandalachi Nabieu.PPH术后复发与皮赘残留:应注意区分两者[J].中国实用外科杂志,2009,29(12):1012-1017. 被引量:23
  • 2许焕玲,徐万里,赵景林.PPH术中采用常规缝扎动脉搏动部位防止术后早期出血的临床意义[J].中国医药导报,2009,6(7):28-29. 被引量:17
  • 3M. J. Cheetham B.Sc., F.R.C.S.,C. R. G. Cohen M.D., F.R.C.S.,M. A. Kamm M.D., F.R.C.P., F.R.A.C.P.,R. K. S. Phillips M.S., F.R.C.S..A Randomized, Controlled Trial of Diathermy Hemorrhoidectomy vs. Stapled Hemorrhoidectomy in an Intended Day-Care Setting With Longer-Term Follow-Up[J]. Diseases of the Colon & Rectum . 2003 (4)
  • 4Dr. Yik-Hong Ho,Wai-Kit Cheong,C. Tsang,Jean Ho,K. -W. Eu,C. -L. Tang,F. Seow-Choen.Stapled hemorrhoidectomy—cost and effectiveness. randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months[J]. Diseases of the Colon & Rectum . 2000 (12)
  • 5Ronald Bleday M.D.,Juan P. Pena M.D.,David A. Rothenberger M.D.,Stanley M. Goldberg M.D.,Dr. John G. Buls M.D..Symptomatic hemorrhoids: Current incidence and complications of operative therapy[J]. Diseases of the Colon & Rectum . 1992 (5)
  • 6Bikhohandani J,Agarwal PN,Kant R,et al.Randomized controlled trial tocompare the early and mid-term results of stapled versus open hemorrhoidecto-my.. The American Journal of Surgery . 2005
  • 7Longo A.Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure. Proceedings of the 6th World Congress of Endoscopic Surgery . 1998
  • 8Brian J Mehigan,John R T Monson,John E Hartley.Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial. The Lancet . 2000

二级参考文献42

  • 1姚礼庆,钟芸诗.吻合器痔固定术的操作要求及术中并发症的预防和处理[J].中国中西医结合外科杂志,2005,11(1):10-12. 被引量:49
  • 2《痔上黏膜环形切除钉合术(PPH)暂行规范》修订[J].中华胃肠外科杂志,2005,8(4):342-342. 被引量:235
  • 3傅传刚.重视PPH在痔治疗中的合理应用[J].中国实用外科杂志,2007,27(6):436-437. 被引量:79
  • 4Tjandra JJ, Chan MK. Systemalic review on the procedure for prolapse and hemorrhoids (stapled hemorrhuidopexy)[J]. Dis Colon Rectum, 2007, 50(6):878-892.
  • 5Gravie JF, Lehur PA, Huten N, et al. Stapled hemorrhoidopexy versus milligan-morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up [J]. Ann Surg, 2005, 242(1):29-35.
  • 6Ortiz H, Marzo J, Armendariz P, el al. Stapled hemorrhoidopexy vs. diathermy excision for fourth-degree hemorrhoids: a randomized, clinical trial and review of the literature [ J ]. Dis Colon Rectum, 2005, 48(4):809-815.
  • 7Nisar PJ, Acheson AG, Neal KR, et al. Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials [J]. Dis Colon Rectum, 2004, 47(11):1837-1845.
  • 8Lan P, Wu X, Zhou X, et al. The safety and efficacy of stapled hemorrhoideelomy in the treatment of hemorrhoids: a systematic review and Meta-analysis of tell randomized eonlrol trials [J]. Int J Colorectal Dis, 2006, 21(2):172-178.
  • 9Burch J, Epstein D, Baba-Akbari A, et al. Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation [J]. Health Technol Assess, 2008, 12(8):1-193.
  • 10Jayaraman S, Cnlquhoun PH, Malthaner RA. Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery [J]. Dis Colon Rectum, 2007, 50(9): 1297-1305.

共引文献38

同被引文献4

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部