中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
21期
48-49,50
,共3页
PPH%外剥内扎术%痔%远期疗效
PPH%外剝內扎術%痔%遠期療效
PPH%외박내찰술%치%원기료효
PPH%Milligan-Morgan hemorrhoidectomy%Hemorrhoids%Long-term effect
目的：对比吻合器痔上黏膜环切术（PPH）与外剥内扎术远期疗效。方法：将2005年1月-2006年12月重度痔病患者分为两组，治疗组行PPH术，对照组行传统手术，对远期疗效进行对比分析。结果：两组60个月观察数据中并发症之一“肛门坠胀或急便感”发生率对比差异有统计学意义（P<0.05），其他观察指标包括复发率、总的并发症发生率、患者满意度对比差异均无统计学意义（P>0.05）。结论：PPH治疗重度痔疮远期并发症中“肛门坠胀”发生率较外剥内扎术高，其余远期疗效差异不大。
目的：對比吻閤器痔上黏膜環切術（PPH）與外剝內扎術遠期療效。方法：將2005年1月-2006年12月重度痔病患者分為兩組，治療組行PPH術，對照組行傳統手術，對遠期療效進行對比分析。結果：兩組60箇月觀察數據中併髮癥之一“肛門墜脹或急便感”髮生率對比差異有統計學意義（P<0.05），其他觀察指標包括複髮率、總的併髮癥髮生率、患者滿意度對比差異均無統計學意義（P>0.05）。結論：PPH治療重度痔瘡遠期併髮癥中“肛門墜脹”髮生率較外剝內扎術高，其餘遠期療效差異不大。
목적：대비문합기치상점막배절술（PPH）여외박내찰술원기료효。방법：장2005년1월-2006년12월중도치병환자분위량조，치료조행PPH술，대조조행전통수술，대원기료효진행대비분석。결과：량조60개월관찰수거중병발증지일“항문추창혹급편감”발생솔대비차이유통계학의의（P<0.05），기타관찰지표포괄복발솔、총적병발증발생솔、환자만의도대비차이균무통계학의의（P>0.05）。결론：PPH치료중도치창원기병발증중“항문추창”발생솔교외박내찰술고，기여원기료효차이불대。
Objective:To compare the long-term effects between PPH and Milligan-Morgan Hemorrhoidectomy.Method:The patients with severe hemorrhoids were divided into treatment group and control group randomly from January 2005 to December 2006.Treatment group(42 cases)was treated with PPH.Control group(40 cases)was treated with Milligan-Morgan Hemorrhoidectomy.And the long-term effects were analyzed and compared.Result:The rate of anal bulge which one of complications in 60 months of observation data was statistically significant(P<0.05).The other indexes including total recurrence rate,complication rate,patients satisfaction were no significant differences(P>0.05).Conclusion:The anal bulge rate of severe hemorrhoids long-term complications which treated with PPH is higher than which teated with Milligan-Morgan hemorrhoidectomy.The other long-term effect has no diffenence.
