PPH外痔切除术治疗急性嵌顿痔51例疗效观察

Clinical Observation on PPH Plus External Hemorrhoids Resection for 51 Cases of Acute Incarcerated Hemor- rhoids

为观察吻合器痔上黏膜环切术（PPH）加外痔切除术治疗急性嵌顿痔的疗效，对5l例急性嵌顿痔患者手法复位并禁食、给予静脉补液3d后行PPH加外痔切除术治疗。结果显示，手术时间50～70rain，平均60min；住院时间10～13d，平均11d。术后当日肛门疼痛剧烈8例（15．6％），肛门轻微疼痛17例（33．3％），肛缘轻度水肿3例（5．9％），术后发生尿潴留10例（19．6％），均对症治疗痊愈。随访3周至36个月，无复发，术后无肛门狭窄、大便失禁。结果表明，术前配合手法复位并禁食、给予静脉补液3d后行PPH加外痔切除术是治疗急性嵌顿痔的理想术式，具有安全有效、患者术后痛苦小、损伤少、恢复快、并发症少等优点。

This paper was to observe the clinical efficacy of PPH plus resection for external hemorrhoids in treating acute incarcerated hemorrhoids.51 cases of acute incarcerated hemorrhoids,manual reduction with fasting,PPH plus resection for external hemorrhoids after 3-day intravenous infusion.The results showed that the operation time was 50-70min,with an average of 60min; the hospital stay was 10-13d,with an av- erage of lid.Severe postoperative anal pain in 8 cases on the day of surgery（15.6 %）, mild anal pain in 17 cases （33.3 %）, slight anal edema in 3 cases （5.9%）. Postoperative urinary retention in 10 cases （ 19.6 %） were cured after symptomatic treatment.After a 3w-36 month of follow up,there was no relapses, no anal stenosis and fecal incontinence. It is concluded that combined with preoperative manual reduction, fasting and a 3d-intravenous infusion,PPH plus resection for external hemorrhoids is an ideal surgical procedure for acute incarcerated hemorrhoids, which is of safety and efficacy, less postoperative pain, less injury, rapid recovery and fewer complications.