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find Keyword "剪口结扎" 2 results
  • Multicenter Clinical Research on Safety of Shearing Fracture Ligation Combining PPH in Treatment for Mixed Hemorrhoids

    ObjectiveTo evaluate the safety of shearing fracture ligation combining procedure for prolapse and hemorrhoids (PPH) in treatment for mixed hemorrhoids via a multicenter clinical study. MethodsTwo hundred and fortysix patients with mixed hemorroids were included from four a level of firstclass hospitals, which were averagely divided into shearing fracture ligation combining PPH group, PPH group, and shearing fracture ligation group according to the order of admission. The occurrence status of rectovaginal fistula, urethrorectal fistula, postoperative bleeding, acute urinary retention, anorectal stenosis, and anal incontinence were observed. And the anal function was evaluated by the anorectal pressure measurement. ResultsNo rectovaginal fistula or urethrorectal fistula happened among three groups. No anorectal stenosis happened in the shearing fracture ligation combining PPH group or the PPH group. The score of anorectal stenosis and anal incontinence in these two groups were lower than those in the shearing fracture ligation group (Plt;0.05). The rate of postoperative bleeding in the shearing fracture ligation combining PPH group was lower than that in the shearing fracture ligation group (Plt;0.05). There were acute urinary retentions happened among three groups, but without significant differences among them (Pgt;0.05). The anal canal resting pressure after operation was lower than that before operation among three groups (Plt;0.01), which in the shearing fracture ligation combining PPH group was lower than that in the shearing fracture ligation group after operation (Plt;0.05). There were no significant differences of the rectum feeling capacity or maximum rectum capacity between the shearing fracture ligation combining PPH group and PPH group before and after operation (Pgt;0.05), but compared with the level before operation in the shearing fracture ligation group, the rectum feeling capacity obviously decreased after operation (Plt;0.05), the maximum rectum capacity obviously increased (Plt;0.05). There were no significant differences of the maxinum anal canal systolic blood pressure between before and after operation in three groups and among three groups (Pgt;0.05). ConclusionsThe operation of shearing fracture ligation combined with PPH can protect the tissue of rectal cushion, remain the normal anatomy structure of anal canal. It has better clinical effect and is much safer than other methods.

    Release date:2016-09-08 04:25 Export PDF Favorites Scan
  • 吻合器痔上黏膜环形切除术辅助剪口结扎治疗357例混合痔患者的长期疗效评价

    目的研究吻合器痔上黏膜环形切除术(PPH)辅助剪口结扎治疗357例混合痔的长期疗效。 方法回顾性分析2007年1月至2009年1月期间在中国医科大学附属第四医院肛肠外科行PPH辅助剪口结扎治疗的369例混合痔患者的临床资料。观察混合痔患者术后的排便疼痛、出血、肛门瘙痒等症状,随访至少5年并记录痔复发、肛门狭窄、吻合口狭窄、肛门控便能力等情况。 结果最终完成随访患者有357例,所有患者均未发生阴道直肠瘘、阴道尿道瘘、排便失禁、吻合口大出血及吻合口感染并发症,患者术后疼痛、出血、肛门瘙痒症状人数早期(术后6个月)与术前比较有明显减少(P<0.05),中长期(术后5年与术后1年)比较差异无统计学意义(P>0.05),其5年随访改善率分别为94.9%、96.1%、96.6%。随访5年内痔复发患者12例(3.4%),外痔复发11例(3.1%),吻合口狭窄2例(0.6%),无肛门狭窄患者,无排便失禁患者。 结论PPH辅助剪口结扎治疗混合痔安全、有效,长期复发率低。

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