PPH在痔合并肛瘘、肛裂患者中应用的可行性研究

Application of PPH in the Patients with Hemorrhoids Complicated with Anal Fistula and/or Anal Fissure：Fea- sibility Study

为探讨吻合器痔上黏膜环切钉合术（PPH）在痔合并肛瘘、肛裂患者中应用的可行性，将152例痔合并肛瘘、肛裂者随机分为观察组和对照组，各76例，观察组行PPH治疗痔，对照组行外剥内扎术治疗痔，两组均在处理痔的同时手术治疗肛裂、肛瘘。对比两组患者总体疗效、术后并发症及创面愈合时间。结果显示，两组患者均治愈；但观察组术后出血、肛门胀痛、尿潴留、肛缘水肿发生率均低于对照组，且创面愈合时间明显短于对照组，P〈0．05。结果表明，对于痔合并肛瘘、肛裂者，行PPH治疗安全可行，同时配合手术治疗合并的肛瘘、肛裂，疗效肯定。

This study was explore the feasibility of PPH used in the patients with hemorrhoids associated with anal fistula and/or fissure.The 152 patients with hemorrhoids associated with anal fistula and/or fis- sure were randomly divided into observation group and control one, n =76 for each group;gave PPH to observation group, while external dissection ＆ internal ligation to controls; for both groups all at same time of managing hemorrhoids surgically treating their fistula and/or fissure; then compared whole effect,postoperative complication and wound-surface healing time between both groups.As results, the patients of both groups were all cured, but the incidence of postoperative complications such as bleeding, swelling pain of anus, uroschesis and anal margin edema in observation group were all lower than that in control group,also,wound-surface healing time was shorter significantly（ P〈0.05）.Results show that for the patients with hemorrhoids complicated with anal fistula and/or fissure,PPH is safe and feasible,at same time per- forming relevant surgery for complicated fistula and/or fissure can obtain certain effect.