齿状荷包缝合法在PPH术治疗重度痔68例中的临床观察

目的探讨应用齿状荷包缝合法在吻合器痔上黏膜环切术（PPH）治疗重度痔临床疗效。方法回顾分析我科2008年6月—2010年6月应用PPH术,术中采用齿状荷包缝合法治疗以肿块脱出及便血为主要症状的68例Ⅲ、Ⅳ期痔患者的临床资料和随访结果。结果改良PPH术创伤小、疼痛轻、恢复快。且对控制出血、防止脱垂以及减少并发症的作用显著,患者满意度达97.3%,随访l～3个月,一次性治愈90%,无大便失禁、肛周感染、脓肿、吻合口狭窄等并发症。结论齿状荷包缝合法在PPH术治疗重度痔临床疗效明显。

Clinical observation on dentate purse string suture in PPH treatment for 68 cases of severe hemorrhoids

Objective To explore the clinical efficacy of dentate purse string suture in procedure for prolapse and hemorrhoids（PPH）surgical treatment for severe hemorrhoid.Methods From June 2008 to June 2010,68 patients with Ⅲ and Ⅳperiod hemorrhoids with bump emerge and hemafecia of dominating symptoms underwent PPH in our department.The clinical data and follow-up results were retrospectively analyzed.Results Results With less hurt,lighter pain and faster recovery,modified PPH showed significant effects in controlling bleeding,preventing emersion and decreasing complications,patient satisfaction reaches 97.3%,follow-up for 1～3 months,one-time cure rate was 90%,no fecal incontinence,perianal infection,abscess,anastomotic stenosis and other complications.Conclusion The dentate purse string suture in PPH surgical treat severe hemorrhoids showed the good curative effect.