PPH治疗早期急性嵌顿性环状混合痔35例疗效分析

PPH in the Treatment of Early Acute Incarcerated Circumferential Mixed Hemorrhoids：An Analysis on Curative Effects of 35 Cases

为探讨吻合器痔上黏膜环切术（PPH）治疗早期急性嵌顿性环状混合痔的临床疗效，对35例早期急性嵌顿性环状混合痔（发病时间1～3d）患者行PPH治疗。结果显示，本组35例患者均一次手术成功，术后脱出肛外的痔核全部回缩。平均手术时间为17min，住院时间为5d。术后第1天需药物止痛17例，第2天开始无需药物止痛；术后尿潴留15例，留置导尿第2天拔管后恢复自主排尿；肛门下坠感、急便感、腹部隐痛12例，手术次日症状消失。随访3～6个月，均无复发，无术后大出血、感染、肛门失禁及肛门狭窄发生。结果表明，PPH治疗早期急性嵌顿性环状混合痔安全有效。

Abstract In order to explore the clinical curative effects of PPH （procedure for prolapse and hemorrhoids） in the treatment of early acute incarcerated circumferential mixed hemorrhoids, the 35 cases of this disease were enrolled in this study and received PPH surgery within 1-3 days of onset. As results,all of the 35 cases were primarily cured; after operation hemorrhoids core prolapsed outside of anus were of recession at all;average time for operation and for hospital stay was 17 rain and 5 days,respectively;on the first day after operation 17 cases needed drugs to stop pain,and on the second day they no longer did so,postoperative uroschesis occured in 15 cases so receiving indwelling catheter, but on the next day withdrawal-catheter just recovered automatic urination~ tenesmus sensation, fecal urgency sensation of anus, and insidious pain of abdomen occured in 12 cases,on the next day after operation all symptoms disappeared ; the follow-up of 3-6 months did not find recurrence,too,as well postoperative massive bleeding,lnfection, anal stenosis and incontinence,too. Results show that PPH for early acute incarcerated circumferential mixed hemorrhoids is safe and effective.