多区域皮桥整形搭桥辅助PPH术治疗环状混合痔的临床研究

目的观察和评价多区域皮桥整形搭桥辅助PPH术治疗环状混合痔的临床疗效。方法将90例环状混合痔患者随机分为治疗组和对照组各45例，治疗组采用多区域皮桥整形搭桥辅助PPH术，对照组采用传统的外剥内扎术。观察两组在手术时间、创121愈合时间、恢复工作时间、术后并发症、治愈率及复发率等方面指标，根据疗效评分标准进行评价。结果治疗组在手术时间、治疗效果、创口愈合时间、恢复工作时间、治愈率及复发率等方面明显优于对照组（P〈0．05）。结论多区域皮桥整形搭桥辅助PPH术是治疗环状混合痔较为理想的手术方式。

Clinical study of PPH plus multiUngual regional skin bridge plastic bypass operation in the treatment of circumferential mixed hemorrhoids

Objective To evaluate the clinical efficacy of the procedure for prolapse and hemorrhoids （PPH） plus multilingual regional skin bridge plastic bypass grafting surgery in the treatment of circumferential mixed hemorrhoids. Methods The ninety patients with circumferential mixed hemorrhoids were randomly divided into treatment and control group（45 cases, each group）. The treatment group was treated by PPH plus multilingual regional skin bridge plastic bypass grafting surgery and control group by external dissection and internal ligation procedure. Resuits In comparison between two groups, treatment group was significantly superior to control group in the therapeutic effect, operation time, recovery time, wound healing time, cure rate and postoperative recurrence rate （P 〈 0.05 ）. Conclusion The method of PPH plus multilingual regional skin bridge plastic bypass grafting surgery is a comparative ideal surgical method to treat circumferential mixed hemorrhoids.