重度混合痔手术治疗体会

【摘要】〓目的〓探讨PPH加痔核切除治疗重度混合痔的临床疗效。方法〓对18例Ⅲ-Ⅳ度重度痔用PPH加痔核切除术治疗情况进行回顾性分析。结果〓16例行了PPH加痔核切除,2例痔核大而硬,行PPH困难,改行痔核单纯切除,18例术后痔核均回复良好,排便时无痔核脱出,术后短时间大便时带血15例。无术后大便失禁及肛门狭窄。结论〓PPH加痔核切除术可提高重度痔疮的治疗效果,减少术后复发,提高病人满意度。

Experience in the treatment of severe mixed hemorrhoids

Objective To discuss the clinical effects on PPH plus hemorrhoids resection for treating severe mixed hemorrhoids. Methods The 18 caeses with Ⅲ-Ⅳ degree severe mixed hemorrhoids undergoing PPH plus hemorrhoidal resection were analyzed retrospectively. Results Sixteen cases underwent PPH plus hemorrhoid resection. Because of large and hard hemorroids, 2 cases underwent simple hemorrhoidal resection. The postoperative hemorrhoids were retracted well in all cases, and no hemorrhoidal prolapse was found during defecation. Fifteen cases occurred transient hemafecia after operation. No postoperative fecal incontinence and anal stenosis were found in this group. Conclusion PPH plus hemorrhoid resection would improve curative effects on severe mixed hemorrhoids and reduce postoperative hemorrhoids recurrence.