文档介绍：PPH治疗环状痔48例疗效分析
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作者:陈峻灏任旭升罗章龙伍健斌
【摘要】目的探讨吻合器行痔上粘膜环切术(PPH)的疗效。方法
2007年12月至2009年12月采用吻合器行痔上粘膜环切术治疗Ⅲ期、Ⅳ期脱垂内痔48例。结果 48例均一次吻合成功,吻合圈完整,~,手术时间20~ 30 min,手术后2d内39例病人脱出痔块完全回缩至肛管内;9例因局部水肿而回缩不全,2周后基本回缩,大便正常,有效率为100%。平均住院时间4d,随访6~12个月,未见复发。结论
吻合器行吻合器痔上粘膜环切术保留了精细控便的功能。
【关键词】痔吻合器痔上粘膜环切术疗效观察
【ABSTRACT】Objective: To explore the curative effects of procedure for prolapse and hemorrhoids(PPH) with indigenous staplers in treatment of hemorrhoids. Methods Totally 48 patients with circumferential hemorrhoids of Ⅲ and Ⅳstages taken the PPH from Dec. 2007 to . Results All cases eed in one time with integrity stomas. The width of the excisional examples were ~
cm and the operative time was 20~30 minutes. prolapsed hemorrhoid of 39 pletely recovered 2 days after operation,and the other pletely recovered 2 weeks later because of partly dropsy. The effective power was 100% and the average stay was 4 days. All patients were followed up 6~12 months with no palindromia. Conclusion Indigenous staplers in treatment of hemorrhoids remained the refined function of defecation.
【KEY WORDS】 hemorrhoid procedure for prolapse and hemorrhoids(PPH) clinical observation
PPH术是基于肛垫学说而产生的,Thomson通过对大量肌)、弹力纤维和结缔组织构成,并在1975年正式提出“肛人尸体肛管直肠标本研究发现肛管齿线上方存在粘膜下增厚垫”的概念。目前认为痔病的发生是由于肛垫下移、血管结构区,组织学上由血管(主要是扩张的静脉)、平滑肌(Treits改变及病理性增大所致。PPH术基于这种