期刊文献+

PPH联合部分肛门内括约肌切断术治疗重度混合痔远期疗效及安全性的临床研究 被引量:30

Long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids
下载PDF
导出
摘要 目的观察和评价吻合器痔上黏膜环切除术(PPH)联合肛门内括约肌部分切断术治疗重度混合痔的临床疗效。方法选取2008年5月至2010年5月重度混合痔患者103例,分为试验组52例和对照组51例。试验组行PPH联合肛门内括约肌部分切断术,对照组行单纯PPH手术。术后对两组患者的远期疗效及并发症进行比较分析。结果术后24个月试验组的痔核再次脱出、肛门疼痛、便血等症状复发率明显低于对照组(P<0.05)。两组肛门失禁、肛门狭窄等严重并发症比较,差异无统计学意义(P>0.05)。结论 PPH联合肛门内括约肌部分切断术治疗重度混合痔可明显降低术后症状复发率,提高远期疗效,且不增加新的风险。 Objective To observe and evaluate the long-term efficacy and safety of PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids .Methods Choose 103 patients who were diagnosed with severe mixed hemorrhoids from May 2008 to May 2010 .Then divided these patients into the experimental group of 52 patients and the control group of 51 patients ,randomly . The patients of experimental group were treated by PPH plus partial internal anal sphincterotomy ,and the patients of control group were treated by the simple PPH operation .Have a postoperative followed up for 24 months to check and compare the long-term ef-ficacy and safety of two groups .Results The incidence of prolapse recurrence ,anus pain and hemafecia in experimental group were significantly lower than that in control group(P〈0 .05) ,there was no significance of the anal incontinence and anal stenosis in two groups(P〉0 .05) .Conclusion The therapy of the PPH plus partial internal anal sphincterotomy for severe mixed hemorrhoids can significantly reduce the recurrence ,and improve the long-time efficacy ,but not to increase additional risk .
出处 《重庆医学》 CAS CSCD 北大核心 2014年第24期3187-3188,3191,共3页 Chongqing medicine
关键词 混合痔 PPH 肛门内括约肌部分切断术 远期疗效 安全性 mixed hemorrhoids PPH partial internal anal sphincterotomy the long-time efficacy safety
  • 相关文献

参考文献12

二级参考文献22

共引文献2183

同被引文献253

  • 1赵权,陈国锋,赖添武,莫志和,林世雨,冼秀玲.中药痔瘘洗液熏洗治疗环状混合痔术后疗效观察[J].医学信息(医学与计算机应用),2014(27):229-229. 被引量:3
  • 2中华医学会外科学分会肛肠外科学组.痔临床诊治指南(草案)[J].中华胃肠外科杂志,2004,7(5):415-416. 被引量:206
  • 3《痔上黏膜环形切除钉合术(PPH)暂行规范》修订[J].中华胃肠外科杂志,2005,8(4):342-342. 被引量:235
  • 4痔临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461-463. 被引量:2094
  • 5彭淑芬,田社清,余长江.痔瘘术后排便的临床护理[J].解放军护理杂志,2007,24(5):75-75. 被引量:4
  • 6Papillon M, Amaud JP, Descottes B, et al. Treatment of hemor- rhoids with the Longo technique. Preliminary resuhs of a prospec- tive study on 94 cases[ J]. Chirorgie,2010,124 ( 6 ) :666-669.
  • 7Robert IC, Edwards T, Edward A, et al. Serial intravenous doses of dezocine, morphine, and nalbuphine in the management of postop- erative pain for outpatients [ J ]. Anesth Analg,2011,77 (6) :533- 539.
  • 8Liebson G, George E, Bigelow B, et al. Comparative effects of ke- torolac, dezocine, and fentanyl as adjuvants during outpatient an- esthesia[ J ]. Anesth Analg, 1992,75 (10) :566-571.
  • 9Strain EC, Preston KL, Liebson IA, et al. Opioid antagonist effects of dezocine in opioid-dependent humans [ J ]. Clin Pharmacol T- her, 1996,60(2) :206-217.
  • 10Pandit UA, Kothary SP, Pandit SK. Intravenous deecine for post- operative pain : a double-blind, placebo-controlled comparison with morphine [ J ]. J Clin Pharmacol, 1986,26 (4) :275-280.

引证文献30

二级引证文献227

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部