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痔上黏膜环形切除钉合术治疗直肠黏膜脱垂

任玲 张光哲 凌光烈

局解手术学杂志2017,Vol.26Issue(1):29-32,4.
局解手术学杂志2017,Vol.26Issue(1):29-32,4.DOI:10.11659/jjssx.07E016008

痔上黏膜环形切除钉合术治疗直肠黏膜脱垂

Clinical efficacy of procedure for prolapse and hemorrhoids for treatment of rectal mucosa prolapse

任玲 1张光哲 1凌光烈1

作者信息

  • 1. 中国医科大学附属第一医院肛肠外科,辽宁沈阳110001
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of procedure for prolapse and hemorrhoids ( PPH) for treatment of rectal mucosa prolapse.Methods The 100 patients who suffered from rectal mucosa prolapse and were planning to take surgical treatment for the first time in our hospital from June 2013 to June 2015 were randomly divided into the treatment group and the control group .Patients in the treatment group(n=50) underwent PPH while patients in the control group (n=50) underwent traditional simplified mucosal plication technique .To observe the therapeutic effect of the two groups ,the average operation time ,average length of stay in hospital ,postoperative pain within 72 hours,postoperative anal function and postoperative complications of the two groups .Results There was no significant difference in the over-all treatment effect between the two groups(P>0.05).The average operation time, average length of stay in hospital,postoperative pain with-in 72 hours and postoperative anal function of the treatment group were lower than those of the control group ,and the differences were significant&nbsp;(P<0.05).Bleeding and anal bearing-down occurred much less in the treatment group compared with the control group ,and the differences were statistically significant(P<0.05).But there was no significant difference in postoperative complications such as recurrence ,rectal steno-sis and anal incontinence (P>0.05).Conclusion Compare to the traditional simplified mucosal plication technique ,PPH technique has more advantages such as shorter operation time ,less anguish of patients,less complication,shorter hospitalization time,and higher security, which indicates PPH could become the preferred method for treatment of rectal mucosa prolapse .

关键词

痔上黏膜环形切除钉合术/吻合器/直肠黏膜脱垂/黏膜折叠术

Key words

procedure for prolapse and hemorrhoids/anastomat/rectal mucosa prolapse/mucosal plication technique

分类

医药卫生

引用本文复制引用

任玲,张光哲,凌光烈..痔上黏膜环形切除钉合术治疗直肠黏膜脱垂[J].局解手术学杂志,2017,26(1):29-32,4.

局解手术学杂志

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1672-5042

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