PPH与外剥内扎术治疗环状混合痔临床效果的对比研究

Control study of the clinical effects between PPH and Milligan-Morgan Hemorrhoidectomy for ring mixed hemorrhoids

目的比较痔上黏膜环切(PPH)术与传统的痔外剥内扎术治疗环状混合痔临床效果。方法 62例环状混合痔患者随机分成A组和B组,A组32例,B组30例,分别进行PPH术(A组)和痔外剥内扎术(B组),观察记录手术时间、术中出血量和术后疼痛。结果痔PPH术组的手术时间(18.66±3.12)min、术中出血量(18.97±3.69)mL均优于痔外剥内扎术组(34.73±5.9)min、(42.27±7.33)mL(P<0.01),术后6h、术后第1次大便和术后3天疼痛程度(2.16±0.40)、(2.05±0.37)、(1.59±0.34)也明显优于外剥内扎术(7.67±1.22)、(7.28±1.11)、(6.74±1.18)(P<0.01)。结论痔PPH术治疗环形混合痔优于传统的痔外剥内扎术。

Objective To study the clinical effects of PPH（procedure for prolapse and hemorrhoids） and Milligan-Morgan for the treatment of ring mixed Hemorrhoid.Methods A totalof 62 ring mixed Hemorrhoid cases were randomly divided into group A and group B,respectively Group A was treated with PPH,Group B was treated with Milligan-Morgan Hemorrhoidectomy.The surgery time,the hemorrhage of operation and the wound pain were compared between two groups.Results The time of operation（18.66±3.12）min,the hemorrhage of operation（18.97±3.69）mL and the wound pain of different stages（2.16±0.40）,（2.05±0.37）,（1.59±0.34） of PPH were superior to Milligan-Morgan Hemorrhoidectomy（34.73±5.9）min,（42.27±7.33）mL,（7.67±1.22）,（7.28±1.11）,（6.74±1.18）（P〈0.01）.Conclusion As compared with traditional Milligan-Morgan Hemorrhoidectomy,PPH is a safe and effective procedure for ring mixed hemorrhoids.