PPH术治疗重度混合痔的临床观察

Clinical observation of PPH in the treatment of severe mixed hemorrhoid

目的观察PPH术治疗重度混合痔的效果。方法2012年1月～2013年1月本院住院的重度混合痔患者共120例，随机分为PPH组60例，外剥内扎组60例。观察两组患者的手术时间、住院时间、止痛药的使用、术后出血及术后并发症情况。结果PPH组患者的手术时间、住院时间、止痛药的使用及术后并发症与外剥内扎组比较，差异有统计学意义（P〈0．05）。而术后出血的例数，两组差异无统计学意义（19〉0．05）。结论PPH术相对于外剥内扎术，手术时间明显较短，术后疼痛较缓，可保护肛门控便能力，恢复快，并发症少，住院时间短，是治疗重度混合痔的理想手术方式。

Objective To observe the curative effect of treatment of severe mixed hemorrhoids by PPH surgery. Methods A total of 120 patients with severe mixed hemorrhoid from January 2012 to January 2013.They were randomly divided into PPH group in 60 cases,within the outer peel group in 60 cases.The operation time, hospitalization time, the use of painkillers, postoperative bleeding and postoperative complications were observed between the two groups of patients. Results The operation time,hospitalization time,the comparison of the use of painkillers and postoperative complications in PPH group compared with the outer peel inside group,the difference had statistical significance （P〈 0.05）.And postoperative hemorrhage cases,there was no statistically significant difference in the two groups （P〉0.05）. Conclusion PPH surgery relative to the outer peel inside the firm,obviously shorter operative time,postoperative pain is relatively slow,protecting anal control ability,rapid recovery,fewer complications,shorter hospitalization time,PPH is an ideal surgical treatment of severe mixed hemorrhoids.