PPH及传统术式在直肠内脱垂伴混合痔所致便秘患者中的应用比较

PPH and conventional surgery in patients with constipation caused by mixed hemorrhoid with rectum prolapse,the application of comparison

目的研究对比吻合器痔上黏膜环切术(PPH)及传统术式在治疗直肠内脱垂伴混合痔所致便秘患者疗效方面的差异。方法选取我院2014年1月~2015年10月入院治疗的直肠内脱垂伴混合痔患者80例,随机分为实验组和对照组。对实验组采取PPH治疗,对照组采取传统术式治疗,分析二者治疗后肛门功能指标的变化。结果实验组与对照组术后直肠肛门各项检测除肛管舒张压外,肛管最大收缩压、肛管静息压、直肠静息压都具有明显改善,其中,实验组改善远高于对照组,差异显著,P<0.05表示统计学上有意义。术后实验组患者生活质量优于对照组,差异显著,P<0.05表示统计学上有意义。结论采取PPH手术治疗直肠内脱垂伴混合痔所致便秘效果要优于传统术式方法,有助于提高患者的生活质量,值得在临床上推广应用。

Objective to study on contrast stapling hemorrhoids mucosa fibrotomy(PPH) and conventional surgery in the treatment of rectal prolapse with mixed hemorrhoid patients with constipation curative effect caused by differences. Methods to select our hospital from January 2014 to October 2014 hospitalized patients with mixed hemorrhoid with prolapse of the rectum in 80 cases,were randomly divided into experimental group and control group. In experimental group treated with PPH,and the control group treated with conventional surgery,analyze the anus function index change after the treatment. Results the experimental group and control group the postoperative anal rectum all tests in addition to the anal canal diastolic blood pressure,anal canal maximum systolic blood pressure,anal canal resting pressure,rectal resting pressure has obvious improvement,among them,the experimental group improved far higher than the control group,significant difference,P < 0. 05 said statistically meaningful. Postoperative patients quality of life is better than that of control group,while significant difference,P < 0. 05 said statistically meaningful.. Conclusion take PPH with mixed hemorrhoid surgery rectum prolapse caused by constipation effect is superior to the traditional operation method,help to improve the patient’s quality of life,is worth popularization and application in clinic.