PPH与外剥内扎术治疗环状混合痔的疗效比较

Comparison on the Therapeutic Effects of PPH and External Dissection ＆ Internal Ligation in the Treatment of Circumferential Mixed Hemorrhoids

为比较PPH与外剥内扎术治疗环状混合痔的临床效果，选取2009年1月至2011年5月间在我院住院治疗的75例环状混合痔患者，随机分为治疗组（39例，PPH）和对照组（36例，外剥内扎术），观察两组患者术中、术后一般情况及并发症发生情况。结果显示，治疗组手术有效率为100％（39／39），对照组为97．2％（35／36），两组差异无统计学意义，P〉0．05。但与对照组比较，治疗组术中出血少，手术时间、术后住院时间和恢复工作时间短。术后肛门疼痛、尿潴留、肛门坠胀、便中带血及切口渗血发生率低。差异均有统计学意义，P〈0．05。两组复发率差异无统计学意义，P〉0．05。结果表明，PPH治疗环状混合痔优于传统外剥内扎术。

In order to compare the clinical effects of PPH and external dissection ~〉 internal ligation in the treatment of circumferential mixed hemorrhoids,authors selected the 75 patients with this disease who had admitted in author＇s hospital for treating their diseases from Jan. 2009 yr. to May. 2011 yr. Then randomly divided them into treatment group（i, e received PPH,39 cases） and control group（i, e received external dissection ＆ internal ligation,36 cases）,and observed the intraoperative and postoperative general status and incidence of complication. As results,the effective rates between both groups had no statistical difference [100%（39/39） vs 97.2%（35/36）, P 〉0. 05] ;the recurrence rate had also no statistical difference（ P 〉 0.05）;but treatment group had less bleeding volume, shorter operative time, postoperative hospital stay and time return to work, as well lower incidences of postoperative anus pain, uroschesis, anus tenesmus, hematochezia and diapedesis of cut than control group statistically（ P 〈0.05）. Results show that in the treatment of circumferential mixed hemorrhoids,PPH is superior to traditional external dissection ＆ internal ligation.