CAJ | 학술논문

目的：探讨痔上粘膜切除术（PPH）联合粘膜下痔核切除术治疗环状混合痔的临床效果对比研究。方法选取2010年7月至2013年11月间在我院住院治疗的环状混合痔患者153例。随机分为 PPH 联合外剥内扎术组和 PPH 联合粘膜下痔核切除术手术组，观察两组患者术中、术后一般情况及并发症发生情况。结果 PPH 组在平均粘膜修复时间、术后疼痛、住院时间及肛门狭窄发生率均明显少于 PPH 联合外剥内扎术组，术后复发率两组比较差异无统计学意义。结论对于治疗环状混合痔的治疗，PPH 联合粘膜下痔核切除术更加利于肛管粘膜修复，具有住院时间短、粘膜修复、术后疼痛时间短及肛门狭窄发生率低的优点，值得推广和普及。
목적：탐토치상점막절제술（PPH）연합점막하치핵절제술치료배상혼합치적림상효과대비연구。방법선취2010년7월지2013년11월간재아원주원치료적배상혼합치환자153례。수궤분위 PPH 연합외박내찰술조화 PPH 연합점막하치핵절제술수술조，관찰량조환자술중、술후일반정황급병발증발생정황。결과 PPH 조재평균점막수복시간、술후동통、주원시간급항문협착발생솔균명현소우 PPH 연합외박내찰술조，술후복발솔량조비교차이무통계학의의。결론대우치료배상혼합치적치료，PPH 연합점막하치핵절제술경가리우항관점막수복，구유주원시간단、점막수복、술후동통시간단급항문협착발생솔저적우점，치득추엄화보급。
objective To investigate the clinical effect of PPH combined with submucous hemorrhoids in the treatment of circu-lar mixed hemorrhoid resection. Methods 153 cases of circumfer-ential mixed hemorrhoids patients in our hospital were enrolled From 2010 July to 2013 November , whom were randomly divided into PPH combined with Milligan Morgan hemorrhoidectomy ( group 1) and PPH combined with submucous resection of hemor-rhoids operation ( group 2). The postoperative general condition and complications about patients in the two groups were observed. Results The average time in mucosal repair, postoperative pain, hospitalization and anal stenosis rate of group 2 were significantly less than that of group 1. The recurrence rate was no difference between the two groups. Conclusion PPH combined with submu-cous hemorrhoids for the treatment of circumferential mixed hem-orrhoids, is more conducive to the anal mucosa repair, with shorter hospitalization time, postoperative pain, mucosal repair after short time and anal stenosis rate are low. It is worthy of promotion and popularization.