摘要
目的寻找一个较好的痔上黏膜环荷包缝合和牵引方法。方法对150例痔上黏膜环荷包缝合牵引法的患者,二点牵引法110例,其他牵引法40例,比较两组切除痔上黏膜环的宽度和肛垫上移效果。结果二点牵引法110例切下的痔上黏膜环全部完整且较均匀,环宽度在3．5～5cm,肛垫上移率(即脱垂痔块全部回纳入肛管内)达91%(100/110)。而其他方法40例,痔上黏膜环完整较均匀的有14例,不均匀的有16例,黏膜环不完整10例,黏膜环宽度0．2～3．5cm不等,肛垫上移率62．5%(19/40)。结论二点牵引法切除痔上黏膜环完整较均匀,黏膜环的宽度足够,肛垫上移率高,明显优于其他牵引方法,而且操作简单,易同一平面作痔上黏膜下一圈的荷包缝合,值得推广使用。
Objective To explore a feasible and effective method of purse-string suture and traction in procedures for prolapse and hemorrhoids（PPH） with circular stapler. Methods Width of reseeted mueosal band and extent of residual hemorrhoid mueosal lifting were compared between two groups of patients with hemorrhoids receiving PPH with ＂two-point retraction＂ method（group one, 110 cases） and other retraction methods（group two,40 cases）. Results For group one of 110 cases with ＂two-point retraction＂ ,resected mucosal band of all cases were intact and and average width ranged from 3.5 to 5cm. There was a completely residual hemorrhoid mucosal lifting（complete return of prolapsed hemorrhoid into the anal canal） in 100 cases of group one（91% ）. But in group two with other retraction methods,average width of resected mucosal bands ranged from 0.2 to 3.5cm and there was an incomplete band in 10 cases（25 % ）. The rate of mucosal lifting in this group was only 62.5 % （19/40）. Conclusion Two-point retraction is a feasible,effective and simple method in PPH,resulting in an intact resected mucosal band and sufficient hemorrhoid mucosal lifting. So the two-point retraction PPH is worth to be extended for application.
出处
《中国基层医药》
CAS
2006年第8期1306-1307,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
吻合器
痔上黏膜环切术
痔
治疗方法
Stapler
Procedures for prolapse and hemorrhoids
Hemorrhoid
Treatment method
