痔上黏膜环切除吻合术治疗Ⅱ～Ⅳ期痔34例疗效观察

目的观察吻合器痔上黏膜环切除吻合术（PPH）治疗Ⅱ～Ⅳ期痔的临床效果。方法采用肛肠吻合器痔上直肠黏膜环切除术治疗Ⅱ～Ⅳ期痔34例。结果34例均顺利完成PPH手术，时间为20-45min，黏膜环切除后吻合处向上回缩良好。32例随访3～19个月，效果良好；2例复发出血。无肛门狭窄及肛门失禁等并发症。结论PPH是治疗Ⅱ-Ⅳ期痔的一种简单、安全可靠的治疗方法，近期疗效满意。

Clinical effcct of PPH in treatment of 34 patients with hemorrhoids

Objective To observe the clinical efficacy of procedure for prolapse and hemorrhoids （PPH） in the treatment of patients with haemorrhoids grade Ⅱ or Ⅳ. Methods Thirty-four patients with haemorrhoids grade Ⅱ or Ⅳ were treated by PPH. Their clinical effect were analyzed. Results The operations in 34 patients were completedsuccessfully. The operating time ranged from 20 to 45 minutes. All patients＇ prolapsing haemorrhoids were completely resolved after the operation. The patients were followed-up for 3 - 19 mouths. The follow-up results showed that 32 patients obtained a satisfatory results. Recurrent bleeding were found in 2 patients. No anal incontinence and stenosis were found. Conclusion PPH is an easy, safe, effective method for mixed haemorrhoids grade Ⅱ～Ⅳ and its shortterm efficacy is sat/sfactory.