摘要
为探讨痔上黏膜环切术（PPH）并发出血的原因及对策，回顾性分析138例行PPH患者的临床资料。结果显示，术中荷包缝合时出现血肿14例（10．1％），吻合1：3渗血99例（71．7％），其中活动性出血84例（60．9％），吻合后吻合口裂开1例（0．7％），术中需要缝合者90例（65．2％）；大出血5例（3．6％）。结果表明，PPH虽然是痔病治疗的常规手段，但必须注意防范其并发出血的发生，应积极探寻其对策，减少手术风险。
In order to study the causes and countermeasure of PPH complicated hemorrhage,a retrospective study was carried out on the clinical data of 138 cases. The results showed that during intraoperative purse- string suturing hematoma occurred in 14 cases（10.1%）,anastomotic stoma bleeding in 99 cases （71.7%）, of which there were 84 cases of active hemorrhage（60.9%） ,1 case with anastomotic stoma split（0.7%） ,90 cases needing stitches（65.2%） and 5 cases of massive bleeding （ 3. 6% ）. It is concluded that even if PPH has been the conventional means for treating hemorrhoids, attention should be paid on its complications of bleeding and countermeasure actively explored to reduce surgical risks.
出处
《中国肛肠病杂志》
2013年第1期30-32,共3页
Chinese Journal of Coloproctology
