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痔上黏膜环切钉合术与痔切除术治疗Ⅳ度内痔的疗效对比研究
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- Author:
- No author available
- Journal Title:
- THE JOURNAL OF PRACTICAL MEDICINE
- Issue:
- 16
- DOI:
- 10.3969/j.issn.1006-5725.2005.16.019
- Key Word:
- 痔;痔切除术
Abstract： 目的:评价痔上黏膜环切钉合术对Ⅳ度内痔的疗效.方法:将62例Ⅳ度内痔患者随机分为痔上黏膜环切钉合术组(PPH组)和闭合式痔切除术组(切除组),比较两组的术后疼痛评分、早期并发症及随访1年后的结果.结果:PPH组术后疼痛评分明显低于切除组;术后早期并发症两组无差异;1年随访PPH组术后痔脱垂12例、肛门瘙痒12例、肛周皮赘18例、里急后重10例,与痔切除组比较差异有显著意义(P<0.05);PPH组术后促便感3例,痔切除组1例,术后便血两组均有2例,两组均无疼痛及肛门失禁,两组差异无显著意义.结论:对于Ⅳ度内痔,PPH目前尚不能完全取代痔切除术.在PPH的同时必须附加有限度的痔切除术或肛周皮赘切除才能有效地缓解症状,同时要告知患者可能出现的对排便功能的影响.
- [1]中华医学会外科学分会肛肠外科学组.痔临床诊治指南（草案）[J].2004,(5).
- [2]R G, Molloy,D, Kingsmore.Life threatening pelvic sepsis after stapled haemorrhoidectomy.[J].2000,355(9206).
- [3]Bello M,Rowsell M,Hemingway DM.Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomised controlled trial (see comments)[J].2000,355(9206).
- [4]J M, Jorge,S D, Wexner.Etiology and management of fecal incontinence.[J].1993,36(1).