CAJ | 학술논문

目的：观察PPH治疗复杂性内痔和环状痔的临床疗效。方法对我院及教学医院自2010年1月至2014年1月采用PPH治疗混合痔、复杂性内痔和环状痔278例的完整临床资料进行回顾性分析,观察其术后近期和远期疗效。结果手术平均时间28 min,住院平均时间6.1 d,术后并发症有疼痛、肛缘皮肤水肿、出血和尿潴留等；治愈186例(66.9%),显效35例(12.6%),效差20例(7.2%),复发37例(13.3%)。结论 PPH具有操作简单、术后恢复快见效快等优点,但其并发症处理较困难,复发率也较高,不适用于治疗外痔。
목적：관찰PPH치료복잡성내치화배상치적림상료효。방법대아원급교학의원자2010년1월지2014년1월채용PPH치료혼합치、복잡성내치화배상치278례적완정림상자료진행회고성분석,관찰기술후근기화원기료효。결과수술평균시간28 min,주원평균시간6.1 d,술후병발증유동통、항연피부수종、출혈화뇨저류등；치유186례(66.9%),현효35례(12.6%),효차20례(7.2%),복발37례(13.3%)。결론 PPH구유조작간단、술후회복쾌견효쾌등우점,단기병발증처리교곤난,복발솔야교고,불괄용우치료외치。
Objietive Observe the clinical curative effect of PPH in treatment of complexity hemorrhoids and circular hemorrhoid. Methods From January 2010 to January 2014, the clinical data of 278 patients who underwent PPH to treat complexity hemorrhoids, mixed hemorrhoid and circular hemorrhoid were retrospectively analyzed. The postoperative recent and forward curative effect was observed. Results The average operativetime was 28 minutes, and the average hospital stay were 6. 1 days. There were postoperative complications such as pain, anal skin edema, bleeding and urinary retention. 186 cases were cured (66. 9%),35 cases were markedly improved (12. 6%),20 ca-ses were of poor effect (7. 2%),and recurrence occured in 37 cases (13. 3%). Conclusion PPH has the advantages of simple in operation and quick in postoperative recovery. But there were to many postoperative complications and the recurrence rate is high. So PPH needs more further observation and study.