CAJ | 학술논문

目的探讨吻合器痔上黏膜钉合术(PPH)治疗重度脱垂痔的临床应用价值.方法应用国产吻合器行改良PPH治疗重度脱垂痔40例.结果手术时间10～20 min术后平均住院时间4 d.全部治愈.术后出血2例,下腹部不适10例,尿潴留11例,术后轻微疼痛20例.随访3～15个月,无再脱出、肛门狭窄、大便失禁等并发症.结论改良PPH是治疗重度脱垂痔安全、有效的新方法.
목적 탐토문합기치상점막정합술(PPH)치료중도탈수치적림상응용개치.방법 응용국산문합기행개량PPH치료중도탈수치40례.결과 수술시간10～20 min술후평균주원시간4 d.전부치유.술후출혈2례,하복부불괄10례,뇨저류11례,술후경미동통20례.수방3～15개월,무재탈출、항문협착、대편실금등병발증.결론 개량PPH시치료중도탈수치안전、유효적신방법.
Objective To evaluate the clinical application value of the PPH in the treatment of severe prolapsed hemorrhoids.Method Forty cases with severe prolapsed hemorrhoids underwent improved PPH with homemade stapler.Results The operating period of time was 10～20min and the mean hospitalization period of time was 4 days.All the 40 cases were cured,of whom bleeding in 2 cases,postoperative malaise at the lower abdomen in lO cases,urinary retention in 11 cases,slight pain in 20 cases.After following-up for 3～15 months,there were no such complication as prolapse again,and no anal stricture,fecal incontinence,etc happened.Conclusion The improved PPH is a safe and effective new method in the treatment of severe prolapsed hemorrhoids.