CAJ | 학술논문

目的：探讨吻合器痔上粘膜环切悬吊术（P P H）结合痔切除术与传统开放式外剥内扎术对痔疮的治疗效果进行比较。方法：回顾性分析2010年11月-2012年12月我院收治的380例痔疮患者，将其分为两组，每组190例。研究组采用P P H结合痔切除术治疗，对照组采用传统外剥内扎术治疗。分别对两组患者手术三天内出现的创面水肿、疼痛、尿潴留、术后出血及手术创口愈合时间进行随访评价，并分析两组治疗疗效。结果：研究组手术后三天内出现的尿潴留、疼痛、术后出血量等情况均比对照组良好（P＜0.05）；研究组手术创面水肿比对照组严重（P＜0.05）；两组手术创口愈合时间无显著差异（P＞0.05）；研究组总治愈率高于对照组（P＜0.05）。结论：采用PPH结合痔切除术治疗痔疮，临床效果显著，并发症较少，手术时间短，出血量少，减少了患者的痛苦，值得临床推广应用。
목적：탐토문합기치상점막배절현조술（P P H）결합치절제술여전통개방식외박내찰술대치창적치료효과진행비교。방법：회고성분석2010년11월-2012년12월아원수치적380례치창환자，장기분위량조，매조190례。연구조채용P P H결합치절제술치료，대조조채용전통외박내찰술치료。분별대량조환자수술삼천내출현적창면수종、동통、뇨저류、술후출혈급수술창구유합시간진행수방평개，병분석량조치료료효。결과：연구조수술후삼천내출현적뇨저류、동통、술후출혈량등정황균비대조조량호（P＜0.05）；연구조수술창면수종비대조조엄중（P＜0.05）；량조수술창구유합시간무현저차이（P＞0.05）；연구조총치유솔고우대조조（P＜0.05）。결론：채용PPH결합치절제술치료치창，림상효과현저，병발증교소，수술시간단，출혈량소，감소료환자적통고，치득림상추엄응용。
Objective: To compare the effect of procedure for prolapse and hemorrhoids(PPH) combined external hemorrhoid ectomy with Mil igan-Morgan hemorrhoid ectomy in hemorrhoid treatment. Method: Retrospective analysis of clinical data about 380 cases of hemorrhoid sufferers who were accepted from November 2010 to December 2012 in our hospital. The patients were randomly divided to under go PPH combined external hemorrhoid ectomy (190 cases as research group) or Mil igan-Morgan hemorrhoid ectomy(190 eases as control group). Record and analyze the details of the wound edema, pain, urinary retention, postoperative bleeding and surgical wound healing time and and analyze the efficacy of treatment in both groups. Result: urinary retention, pain, postoperative bleeding of patients in research group occur within three days after surgery are wel than the control group, and there was statistical significance(P<0.05). There have no significant difference in surgical wound healing time between research group and control group (P>0.05). As to surgical wound edema, patients in research group were severer than control group (P<0.05). Overal cure rate of patients in research group was significantly higher than conventional surgery patients(P<0.05). Conclusion:PPH combined external hemorrhoid ectomy is a kind of feasible and effective treatment for hemorrhoid. As to PPH combined external hemorrhoid ectomy surgery, there is fewer complications, shorter operative time and less bleeding, and it can reducing the patient's pain, so PPH combined external hemorrhoid ectomy should be introduced.