CAJ | 학술논문

目的：探讨吻合器痔上黏膜环切术（PPH）联合Ligasure痔切除术治疗重度混合痔疗效。方法将2011年1月1日至2012年12月31日收治的80例混合痔（Ⅲ、Ⅳ度）患者按随机数字表法随机分为试验组和对照组，每组40例，试验组实施PPH术联合Ligasure痔切除术，对照组实施 PPH＋痔核缝扎术，比较两组疗效。结果试验组手术时间[（35.62±11.50）min vs.（52.58±14.86）min]、术中出血量[（21.89±7.14）ml vs.（48.65±12.80）ml]、术后疼痛持续时间[（1.89±1.02）d vs.（4.29±1.35）d]及住院时间[（4.71±1.69）d vs.（6.16±2.20）d]明显优于对照组，便中带血[（7.30±2.72）ml vs.（10.44±6.41）ml]、肛缘水肿时间[（2.80±1.27）d vs.（7.19±3.54）d]、创面愈合时间[（5.08±1.69）d vs.（8.46±3.07）d]明显优于对照组，差异均有统计学意义（P＜0.05）。结论 PPH术联合Ligasure痔切除术是一种安全有效的治疗重度混合痔的方法，值得在临床上推广。
목적：탐토문합기치상점막배절술（PPH）연합Ligasure치절제술치료중도혼합치료효。방법장2011년1월1일지2012년12월31일수치적80례혼합치（Ⅲ、Ⅳ도）환자안수궤수자표법수궤분위시험조화대조조，매조40례，시험조실시PPH술연합Ligasure치절제술，대조조실시 PPH＋치핵봉찰술，비교량조료효。결과시험조수술시간[（35.62±11.50）min vs.（52.58±14.86）min]、술중출혈량[（21.89±7.14）ml vs.（48.65±12.80）ml]、술후동통지속시간[（1.89±1.02）d vs.（4.29±1.35）d]급주원시간[（4.71±1.69）d vs.（6.16±2.20）d]명현우우대조조，편중대혈[（7.30±2.72）ml vs.（10.44±6.41）ml]、항연수종시간[（2.80±1.27）d vs.（7.19±3.54）d]、창면유합시간[（5.08±1.69）d vs.（8.46±3.07）d]명현우우대조조，차이균유통계학의의（P＜0.05）。결론 PPH술연합Ligasure치절제술시일충안전유효적치료중도혼합치적방법，치득재림상상추엄。
Objective To investigate the efficacy of PPH combined with Ligasure in the treatment of severe hemorrhoids. Methods According to the random number table, patients with grade Ⅲ and Ⅳhemorrhoids were randomly divided into two groups, the experimental group (by PPH+Ligasure) 40 cases and the control group (by PPH+ligation) 40 cases. The operation time, intraoperative blood loss, duration of pain at the first postoperative defecation, duration of the postoperative pain, hospital stay and postoperative complications (including postoperative blood in the feces, edema of anal edge, the wound healing time, postoperative urinary retention, anal secretion matter, anal stenosis rate and the rate of wound infection) of two groups were recorded and analyzed. Results There were statistical differences in the terms of operative time, intraoperative blood loss, duration of pain at the first postoperative defecation, duration of the postoperative pain, hospital stays, postoperative blood in the feces, edema of anal edge and the wound healing time, experiment group is much better than that of the control group (P<0.05);However, there were no statistical differences in the terms of postoperative urinary retention, anal secretion matter, anal stenosis rate and the rate of wound infection between the two groups (P>0.05). Conclusion Compared with the traditional surgery, PPH combined Ligasure in the treatment of severe hemorrhoids has more advantages, such as less bleeding, shorter operative time, postoperative pain, shorter hospitalization time.