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Comparison of the therapeutic effect of two procedures in the treatment of severe circular mixed hemorrhoids
Author(s): 
Pages: 37-39
Year: Issue:  32
Journal: Chinese Journal of Postgraduates of Medicine

Keyword:  外科手术治疗结果;
Abstract: 目的 研究观察吻合器痔上黏膜环切术(PPH)治疗重度环状混合痔的有效性和优越性.方法 将200例重度环状混合痔患者随机分为观察组和对照组,每组各100例,观察组行PPH.对照组应用常规的外切内扎术,观察两组临床疗效、手术时间、住院时间、创口愈合时间、术后并发症等指标.结果 观察组治愈90例(90%),对照组治愈72例(72%).观察组手术时间为(15±5)min.对照组为(30±5)min(t=21.21,P<0.01).观察组创口愈合时间为(6.0±2.6)d,对照组为(20.0±3.2)d(t=33.95,P<0.01).观察组住院时间为(6.0±1.9)d,对照组为(22.0±1.2)d(t=20.64,P<0.01).观察组术后无Ⅲ级疼痛患者,对照组有10例(10%).术后24 h排便困难观察组有10例(10%),对照组有32例(32%)(x2=14.58,P<0.01).观察组术后出血、尿潴留、水肿、肛门狭窄的发生率均比对照组低,差异均有统计学意义(P<0.01).结论 PPH可有效治疗重度环状混合痔,并在手术相关指标上优于外切内扎术.
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