CAJ | 학술논문

目的：观察PPH结合外痔切除术治疗环环状混合痔的临床疗效。方法：将符合诊断的环状混合痔患者随机分为A、B、C组，每组30例，分别行PPH结合外痔切除术、PPH术、外剥内扎术。对比分析三组的临床疗效。结果：通过对患者术后疼痛、出血、水肿、排尿情况、住院天数等比较，PPH 结合外痔切除术组较 PPH 术在术后并发症及住院时间上无明显差异，对比外剥内扎术则术后并发症明显减轻，住院时间明显缩短。结论：PPH 结合外痔切除术治疗环状混合痔不但发挥了 PPH 微创的优点，而且很好的解决了PPH术后皮赘的残留的问题，值得临床推广。
목적：관찰PPH결합외치절제술치료배배상혼합치적림상료효。방법：장부합진단적배상혼합치환자수궤분위A、B、C조，매조30례，분별행PPH결합외치절제술、PPH술、외박내찰술。대비분석삼조적림상료효。결과：통과대환자술후동통、출혈、수종、배뇨정황、주원천수등비교，PPH 결합외치절제술조교 PPH 술재술후병발증급주원시간상무명현차이，대비외박내찰술칙술후병발증명현감경，주원시간명현축단。결론：PPH 결합외치절제술치료배상혼합치불단발휘료 PPH 미창적우점，이차흔호적해결료PPH술후피췌적잔류적문제，치득림상추엄。
Objective:To observe the clinical effect of PPH combined with external hemorrhoidectomy on circular mixed hemorrhoids. Methods: Patients diagnosed as circular mixed hemorrhoids were randomly divided into Group A, B, C, 30 cases in each group, respectively treated with PPH combined with external hemorrhoidectomy , PPH and milligan-morgan hemorrhoidectomy. The curative effects of the three groups were compared. Results:Compared to pain, bleeding, edema, urination and days of hospitalization, PPH combined with external hemorrhoidectomy group had no difference with PPH group in complication and days of hospitalization, less complication and shorter hospitalization days compared with milligan-morgan hemorrhoidectomy group. Conclusion:PPH combined with external hemorrhoidectomy in the treatment of circular mixed hemorrhoids not only plays the advantages of PPH with minimal invasion, but solves the residue tags problem after PPH surgery, which is worthy of promotion.