吻合器痔上黏膜环形切除术治疗重度痔疮的临床疗效

目的探讨吻合器痔上黏膜环形切除术（PPH）治疗重度痔疮的临床疗效。方法本院肛肠科治疗的重度痔患者156例,平均分为治疗组和对照组各78例,治疗组患者采用PPH治疗,对照组患者采用传统外科手术治疗。比较两组患者的手术情况。结果治疗组患者的出血率明显高于对照组患者（P〈0.05）,治疗组术后出血为外痔创面渗血;治疗组手术时间、术后的疼痛情况、术后尿潴留情况、复发率、肛门狭窄发生、住院时间等方面明显少于对照组（P〈0.05）。结论吻合器痔上黏膜环形切除术治疗重度痔具有疗效确切、复发率低、安全可靠的特点,值得在临床推广。

Clinical efficacy of procedure for prolapse and hemorrhoids in the treatment of severe hemorrhoids

Objective To investigate the clinical efficacy of consistent the procedure for prolapse and hemorrhoids(PPH) in the treatment of severe hemorrhoids.Methods One hundred and fifty-six cases of severe hemorrhoids patients in our hospital were equally divided into treatment group and control group,each of 78 cases,patients in the treatment group were given PPH treatment,the control group were treated with traditional surgical treatment.Operation situation of two groups were compared.Results The bleeding rate of the treatment group was significantly higher than that of the control group(P < 0.05),all postoperative bleeding were external hemorrhoids wound oozing;the surgery time,pain,urinary retention,the recurrence rate,anal stenosis,length of stay of treatment group were significantly lower than those of control group(P < 0.05).Conclusion The mucosa circular stapler hemorrhoid excision in the treatment of severe hemorrhoids is effective,the recurrence rate is low,it is safe and reliable,worthy of clinical promotion.