双PPH结合挂线术治疗重度痔及防止术后肛门狭窄的研究 |
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引用本文: | 梁伟成,杨吉水,黄锦辉.双PPH结合挂线术治疗重度痔及防止术后肛门狭窄的研究[J].中国肛肠病杂志,2014(3):50-51. |
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作者姓名: | 梁伟成 杨吉水 黄锦辉 |
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作者单位: | 广东省开平市中医院肛肠科,广东开平529300 |
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摘 要: | 为探讨双PPH治疗重度混合痔时应用挂线术防止肛门狭窄的疗效,将300例重度混合痔患者分为3组。治疗组100例重度环状混合痔患者行双PPH治疗时应用挂线术防止肛门狭窄,对照A组(双PPH加纵切横缝吻合口松解术)、对照B组(单纯双PPH治疗)均未应用挂线术,然后3组进行疗效比较。结果显示,治疗组术后肛门狭窄发生率较对照组明显下降(OVS54%、75%,P〈0.01)。结果表明,双PPH同时应用挂线术防止术后肛门狭窄疗效显著,避免了肛门狭窄的发生。
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关 键 词: | 痔 吻合器痔上黏膜环切术 肛门狭窄 挂线术 |
Double Anastomosis Associated with Thread-drawing During PPH in the Prevention of Postoperative Anal Stenosis |
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Authors: | LIANG Wei-cheng YANG Ji-shui HUANG Jin-hui |
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Institution: | Coloproctological Department of Kaiping Municipal TCM Hospital ,Kaiping,Guangdong 529300 |
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Abstract: | This study was to explore the therapeutic effect of double anastomosis associated with thread- drawing during PPH for preventing stenosis of anus after surgery of severe mixed hemorrhoids. The 300 patients with this hemorrhoids were divided into three groups:treatment group, control group A and control group B,100 cases for each one;treatment group received above combined surgery,while control group A and B were all not associated with thread-drawing during PPH;then the therapeutic effect of the three groups were compared. As results, the incidence of anal stenosis in treatment group was significantly reduced than control group A and B(0 vs 54%,75%, P〈0. 01). Therefore,double anastomosis associated thread-drawing during PPH can significantly prevent stenosis of anus. |
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Keywords: | Hemorrhoid PPH Anal stenosis Thread-drawing |
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