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PPH术治疗急性嵌顿性混合痔疗效及对肛门控便功能的影响
引用本文:鲁兵,刘玉祥,陈勇,张钧,王赭,周坤.PPH术治疗急性嵌顿性混合痔疗效及对肛门控便功能的影响[J].结直肠肛门外科,2011,17(2):65-68.
作者姓名:鲁兵  刘玉祥  陈勇  张钧  王赭  周坤
作者单位:武警上海总队医院肛肠外科,上海,201103
基金项目:上海市卫生局青年基金资助项目
摘    要:目的探讨采用吻合器痔上黏膜环形切除术(PPH)治疗急性嵌顿性混合痔(AIIH)的临床疗效及对肛门控便功能的影响。方法采用PPH手术治疗病例78例,分为嵌顿痔组和混合痔组,对术后疗效及并发症进行分析。结果术后两组疗效及控便机能的变化无明显差异;嵌顿痔术前术后直肠静息压、直肠排便收缩压、肛管静息压的变化有显著性差异(P〈0.05),肛管最大收缩压变化无明显差异(P〉0.05);术后肛管直肠测压两组无显著性差异(P〉0.05)。结论嵌顿痔是痔病理发展的严重阶段,PPH手术适用急性嵌顿混合痔。

关 键 词:嵌顿痔  PPH  肛门控便

Efficacy and bowel control of circular stapling procedure for acute incarceration of circumferential mixed hemorrhoids
Lu Bing,Lui Yuxiang,Cheng Yong,et al..Efficacy and bowel control of circular stapling procedure for acute incarceration of circumferential mixed hemorrhoids[J].Journal of Colorectal & Anal Surgery,2011,17(2):65-68.
Authors:Lu Bing  Lui Yuxiang  Cheng Yong  
Institution:Lu Bing,Lui Yuxiang,Cheng Yong,et al.(Department of General Surgery,Shanghai Corps Hospital,Chinese People's Armed Police Forces,Shanghai 201103,China)
Abstract:Objective To investigate the efficacy and bowel control of procedure for prolapsed hemorrhoids(PPH)with embolectomy surgery for acute incarceration of circumferential mixed hemorrhoids(AIIH).Methods The specimens of 78 cases underwent PPH from May 2007 to May 2008 were collected.They were divided into AIIH group and mixed hemorrhoids group.Symptom relief,complications,and patient satisfaction were analysized.Results There were no difference in the quantity,the variety and the depth of inflammatory cell infi...
Keywords:PPH
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