吻合器痔上黏膜环切除术配合血栓剥除术治疗环状嵌顿痔

Clinical research on treating crico-incarcerated hemorrhoidsby procedure for prolapse and hemorrhoids with embolectomy surgery

目的:探讨吻合器痔上黏膜环切术(PPH)+血栓剥除术治疗环状嵌顿痔的临床疗效。方法:对109例环状嵌顿痔手术治疗的患者随机分为A组和B组,分别行PPH+血栓剥除术(A组)与分段外剥内扎术(B组),并对2组患者的手术时间、术后疼痛的VAS评分、术后并发症(肛缘水肿、肛门狭窄)、住院时间等方面进行比较分析。结果:手术后2组患者的症状均缓解,但在手术时间、术后疼痛的VAS评分、术后并发症(肛缘水肿、肛门狭窄)发生率及住院时间方面,PPH+血栓剥除术均明显优于分段外剥内扎术(P<0.01)。结论:吻合器痔上黏膜环切术(PPH)+血栓剥除术安全、疗效确切。

Objective： To investigate the curative effect of procedure for prolapse and hemorrhoids（PPH） with embolectomy surgery for crico-incarcerated Hemorrhoids.Methods： 109 patients with cricoincarcerated hemorrhoids were divided into group A（n=62）and group B（n=47）,group A were operated on with PPH＋ embolectomy surgery and group B underwent the segmented external dissention.The operative time,the pain score of VAS,the postoperative complications（anus margin edema and anus narrow）and the hospital stay were compared and analyzed.Results： The symptoms were relieved in both groups,while the patients treated with PPH＋ embolectomy surgery had advantages of shorter operative time,less postoperative pain,fewer complications（anus margin edema and anus narrow）,and shorter hospital stay than those of the group with the segmented external dissention（P0.01）.Conclusion： Procedure for Prolapse and hemorrhoids with embolectomy surgery is safe and has a good curative effect.