目的对比分析吻合器黏膜环切术(PPH)与外剥内扎术治疗重度痔的临床疗效。方法选择重度痔(Ⅲ~Ⅳ期)患者40例,随机分为PPH组(PPH手术)和对照组(外剥内扎术)进行治疗,每组20例;统计两组手术时间、住院时间、创面愈合时间、恢复工作时间、并发症和随访情况等。结果 PPH组的手术时间、住院时间、创面愈合时间、恢复工作时间均比对照组短,并发症也比对照组少,差异均有统计学意义(P<0.05),随访期间PPH组无1例复发。结论 PPH治疗重度痔疮操作简便,安全有效,值得进一步推广。
Objective To compare the clinical efficacy of procedure for prolapse and hemrrhoids and external dissection and internal ligation in the treatment of severe hemorrhoids.Methods 40 cases of severe hemorrhoids (gradeⅢ-Ⅳ )were divided into PPH group and control group randomly, with each group of 20 cases. The time of operation,hospital stay,and back to work,and status of complications and follow-up were observed and compared.Results The time of operation,hospital stay,and back to work in PPH group were significantly shorter than those in control group (P<0.05);the occurrence of complication in PPH group was less than in control group (P<0.05).No recurrence was observed during the follow up in the PPH group.Conclusion PPH is featured as easy,safe and effective,and worthy of further application in treatment of severe hemorrhoids