痔上黏膜环形切除钉合术与开放式痔切除术后患者问卷调查结果比较

目的 比较痔上黏膜环形切除钉合术（PPH）与开放式痔切除方法的疗效。方法 通过术后问卷调查结合门诊复查的方法。了解2001年3月至2004年3月以不同的手术方法行痔切除患者术后症状的缓解情况及复发情况。结果 有效同卷184份，其中PPH组96例，开放式痔切除组88例。PPH和开放式痔切除均能明显缓解患者痔脱出（92．7％vs96．8％，P=0．282）、出血（91％vs81％，P=0．241）和疼痛（91．7％vs91．5％。P=0．977）等症状，术后并发症的总发生率（30．2％vs29．5％，P=0．923）和总复发率（21．8％vs20．5％，P=0．814）差异无统计学意义。息者总体满意度PPH组和痔切除组分别为87．5和84．8，两组比较，P=0．218。PPH组6例术后排便或排气不能控制，1～3个月缓解。结论 PPH是一种与开放式痔切除同样安全、有效的治疗脱垂痔的方法。

Comparison of efficacy between procedure for prolapse and hemorrhoids and open hemorrhoidectomy

Objective To compare the results of procedure for prolapse and hemorrhoids (PPH) and open hemorrhoidectomy. Methods A standard questionnaire was given to all patients after PPH or open hemorrhoidectomy from March 2001 to March 2004. In combination with proctological examination,the results including symptoms relief and recurrence were compared between the two groups. Results There were 184 effective questionnaires,including 96 cases in PPH group and 88 in open hemorrhoidectomy group. PPH and open hemorrhoidectomy both relieved prolapse( 92.7% vs 96.8% ,P=0.282) ,bleeding(91% vs 81% ,P=0.241) and pain (91.7% vs 91.5% ,P=0.977). There were no statistical differences in the overall complication rate (30.2% and 29.5% ,P=0.923) and recurrence rate (21.8% vs 20.5% ,P=0.814) between the two groups. The overall satisfactory degree was 87.5% in PPH group and 84.8% in open hemorrhoidectomy group (P=0.218). Conclusion PPH is a safe and effective option for prolapsed hemorrhoids compared with open hemorrhoidectomy.