吻合器治疗重度痔的临床分析(附80例报告)

Clinical analysis of stapled prolapasectomy(PPH) to treat severe hemorrhoids

目的 :探讨吻合器痔环状切除 (PPH)的适应症、方法和疗效。方法 :经肛门镜下采用33mm吻合器切除重度痔患者 80例 ,分析经PPH治疗的临床资料。结果 :平均手术时间为 8～ 14min ,平均住院时间为 3.8d ,12例 (15 % )术后d1～ 8有便血 ,经保守治疗后好转 ,35例术后当天无肛门疼痛 ,随访 1～ 12月效果好。结论 :与传统手术相比吻合器环形痔切除术治疗脱垂性内痔具有手术简单、术后痛苦少、恢复正常生活早、复发率低、并发症少的特点 ,有望替代传统的手术治疗方法。

Objective:To evalute the efficacy of the procedure for prolapse and hemorrhoids(PPH) in the treatment of patients with severe hemorrhoids(gradeⅢ～IV).Methods:80 cases of hemorrhoids at third or fourth degree were operated on by PPH.Result:The mean operation time was 8～14 minutes and mean hospitalication time was 3.8 days.Postoperation bleeding was noted in 12 cases(15%)at the 1th and 8th day after operation,which was cured by conservative methods.35 patients had no annal spasm following the procedure.Follow-up period lasting for 1～12 months showed no complications.Conclusions:Hemorrhoidectomy for proplapsed hemorrhoid with stapler is a simple,safe procedure with good results,low complications and early recovery,it may be an alternative for the conrentional heamorrhoidectomy.