吻合器痔上黏膜环形切除术治疗老年中重度内痔的临床效果

发布时间：2018-07-28 07:22

【摘要】：目的探讨吻合器痔上黏膜环形切除术(PPH)治疗老年中重度内痔的临床效果和并发症发生率情况。方法选择中青年PPH手术者47例为青年PPH组,老年PPH手术者40例为老年PPH组,老年传统外剥内扎术者36例为老年传统手术组。比较老年PPH组和老年传统手术组治疗的总有效率、手术时间、住院时间及出院6个月后感染、出血、肛门狭窄、大便失禁、尿潴留等并发症的随访情况;同时比较老年PPH组和青年PPH组并发症发生情况。结果与老年传统手术组比较,老年PPH组治疗总有效率显著升高,手术时间和住院时间明显缩短,6个月后随访并发症发生率明显降低(均P0.05);与青年PPH组比较,老年PPH组6个月后随访并发症发生率差异无统计学意义(P0.05)。结论 PPH治疗老年中重度内痔有效率高、手术时间短、恢复快、并发症少。
[Abstract]:Objective to investigate the clinical effect and complication rate of prolapse and hemorrhoid mucosal annular resection (PPH) in elderly patients with moderate and severe internal hemorrhoids. Methods 47 young and middle-aged PPH patients were selected as young PPH group, 40 elderly PPH patients as elderly PPH group, and 36 elderly traditional external exfoliation and internal ligation as elderly traditional operation group. To compare the total effective rate, operation time, hospital stay, infection, bleeding, anal stenosis, fecal incontinence, urinary retention and other complications in the elderly PPH group and the elderly traditional operation group. At the same time, the incidence of complications in the elderly PPH group and the young PPH group was compared. Results compared with the traditional operation group, the total effective rate of the elderly PPH group was significantly increased, the operation time and hospital stay were shortened significantly, and the incidence of follow-up complications was significantly decreased after 6 months (P0.05), and compared with the young PPH group, the total effective rate of the elderly PPH group was significantly higher than that of the young PPH group. There was no significant difference in the incidence of complications after 6 months follow-up in the elderly PPH group (P0.05). Conclusion PPH has high effective rate, short operative time, quick recovery and fewer complications in the treatment of moderate and severe internal hemorrhoids.
【作者单位】：吉林医药学院附属医院;
【分类号】：R657.18

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