吻合器痔上黏膜环切术治疗嵌顿环形混合痔25例分析
The clinical analysis of prolapse and hemorrhoids in the treatment of the incarcerated circumferential mixed hemorrhoids in 25 cases
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摘要: 目的:探讨对急性嵌顿环形混合痔进行短期保守治疗后实施吻合器痔上黏膜环切术(PPH术)的临床效果。方法:对25例急性嵌顿环形混合痔患者进行短期保守治疗后实施PPH术,对术后疗效及并发症进行观察。结果:25例全部治愈,手术时间15~35 min。术前治疗3~6 d,术后住院3~5 d,术后镇痛10例,术后无大出血、感染、肛门失禁及肛门狭窄。结论:对于急性嵌顿环形混合痔患者,给予短期保守治疗后行PPH术安全有效,手术时间短,患者术后恢复快,并发症少。Abstract: Objective: To investigate the clinical value of the short-term conservative method combined with the procedure for prolapse and hemorrhoids(PPH) in the treatment of acute incarceration circumferential mixed hemorrhoids.Methods: Twenty-five patients with acute incarceration circumferential mixed hemorrhoids were treated with PPH after the conservative therapy.The effects and complications of postoperation were analysed.Results: All patients were cured,and the operation time was 15 to 35 minutes.The time of preoperative treatment and postoperative hospitalization were 3 to 6 and 3 to 5 days,respectively.The postoperative analgesics were employed in 10 cases.No massive haemorrhage,infection and anal incontinence and stenosis were found after operation.Conclusions: The short-time conservative method combined with PPH for patient with acute incarceration circumferential mixed hemorrhoids is safe and effective,which is short operation time,quick rehabilitation and less complications.