| PPH与Milligan-Morgan手术治疗重度痔的疗效比较 |
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| 引用本文： | 包向东,薛碧茹,周慧珍,陈亮,颜王鑫.PPH与Milligan-Morgan手术治疗重度痔的疗效比较[J].中国中西医结合外科杂志,2011,17(4):349-352. |
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| 作者姓名： | 包向东 薛碧茹 周慧珍 陈亮 颜王鑫 |
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| 作者单位： | 浙江省温州市第三人民医院肛肠外科,温州,325000 |
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| 摘 要： | 目的：比较PPH与Milligan-Morgan手术治疗重度痔的疗效。方法：将130例重度痔患者半随机分为治疗组（PPH）和对照组（Milligan-Morgan术）,分别采用相应的方法治疗,对比观察两组的手术时间、住院时间、住院费用、创面愈合时间、治疗有效率和术后近期及6～24个月后并发症、肛门功能等指标。结果：两组手术有效率无统计学差异（P〉0.05）,治疗组手术时间、平均住院日、创面愈合时间明显低于对照组（P〈0.01）;术后并发症发生率（疼痛、肛缘水肿、出血等）低于对照组（P〈0.01）,肛门功能恢复优于对照组（P〈0.05）,住院费用、术后肛门坠胀、下腹疼痛发生率高于对照组（P〈0.01）。术后6～24个月肛门狭窄、瘙痒和残留皮赘发生率两组差异均无统计学意义（P〉0.05）。结论：PPH治疗重度脱垂痔的近期疗效明显优于Milligan—Morgan手术,但费用较大,远期疗效尚需进一步追踪随访。
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| 关 键 词： | 痔上黏膜环切钉合术 Milligan-Morgan手术 痔 |
Procedure for Prolapse and Hemorrhoids Versus Malligan-Morgan Hemorrhoidectomy in Treatment of Severe Hemorrhoids |
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| Bao Xiangdong,Xue Biru,Zhou Huizhen,et al..Procedure for Prolapse and Hemorrhoids Versus Malligan-Morgan Hemorrhoidectomy in Treatment of Severe Hemorrhoids[J].Chinese Journal of Surgery of Integrated Traditional and Western Medicine,2011,17(4):349-352. |
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| Authors: | Bao Xiangdong Xue Biru Zhou Huizhen |
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| Institution: | Bao Xiangdong,Xue Biru,Zhou Huizhen,et al.Department of Anorectal Surgery,Third People's Hospital of Wenzhou City,Wenzou,Zhejiang (325000),China |
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| Abstract: | Objective To compare the therapeutic effects of severe hemorrhoids between procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan (M-M) hemorrhoidectomy.Methods One hundred and thirty cases of hemorrhoids were randomly divided into two groups:a treatment group (PPH) and control group (M-M).Operating time,hospital stay,hospital expenses,wound healing time,treatment efficiency and postoperative complications as well as anal function in each group were compared.Results The efficiency of the operation... |
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| Keywords: | procedure for prolapse and hemorrhoids(PPH) Milligan-Morgan hemorrhoids |
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