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痔上黏膜非环切吻合术治疗内痔 被引量:11

Noncyclic-PPH therapy for internal hemorrhoids
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摘要 目的探讨痔上黏膜非环切吻合术(noncyclic—PPH)治疗内痔的临床效果及并发症。方法将120例内痔患者根据数字表法随机分为对照组(n=60)和观察组(n=60)。术式:观察组实施痔上黏膜非环切吻合术手术(noneyclic-PPH),对照组实施痔上黏膜环切吻合术(procedure for prolapse and hemorrhoids,PPH),对比两组患者的手术时间、住院时间、术后疼痛程度和并发症发生率,计数资料采用,检验,组间比较采用t检验。结果两组临床有效率、平均手术时间和平均住院时间的差异无统计学意义(P〉0.05)。观察组患者术后各时间点的VAS评分明显低于对照组.差异有统计学意义(P〈0.05)。观察组术后各种并发症发生率均明显低于对照组,差异有统计学意义(P〈0.05)。结论与PPH术相比,noncyclic—PPH术后患者的疼痛明显减轻,并发症少,创伤小,具有推广价值。 Objective To explore the clinical result and complications of noncyclic-PPH surgery in treating internal hemorrhoids. Methods In this study, we evaluate the clinical outcome, such as clinical efficacy, operation time, length of hospital stay, postoperative pain degree and incidence of complications in 120 hemorrhoid patients, randomly divided into control group (60 cases) and observation group (60 cases) based on digital table method, receiving respectively noncyclic-PPH, or PPH (procedure for prolapse and hemorrhoids). Results Two groups were similar in average operation time and average length of hospital stay ( P 〉 0. 05 ). The postoperative VAS score at each time point, was significantly lower in noncyclic-PPH group than the control group ( P 〈 0. 05 ) . Non-cyclic PPH group were also significantly lower in postoperative complications than the control group ( P 〈 0.05). Conclusion Compared with PPH surgery, patients with noncyclic-PPH have fewer pain complications or trauma.
出处 《中华普通外科杂志》 CSCD 北大核心 2016年第8期670-672,共3页 Chinese Journal of General Surgery
关键词 外科手术 并发症 Hemorrhoids Sugical procedures, operative Complications
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