摘要
为探讨PPH术后直肠狭窄的预防方法，将Ⅲ，Ⅳ度脱垂痔386例，分为甲组吻合器PPH86例，乙组徒手PPH80例，丙组220例在做徒手PPH的同时，视情况作吻合口的纵切横缝2-3处，使吻合口可顺利通过2横指大小。术后随访6-12个月。结果显示，甲组直肠狭窄发生率1．16％（1／86），乙组为12．5％（10／80），丙组为0。结果表明，吻合器施行的PPH及吻合口的纵切横缝术可有效预防PPH术后的直肠狭窄。
For exploring the preventive method for rectal stenosis after PPH operation,authors divided 386 patients with Ⅲ or IV grade prolapsed hemorrhoids into 3 groups. A group（86 cases） underwent PPH with stapler,B group（80 cases） underwent PPH without stapler,C group （220 cases） underwent following procedure.at same time of PPH without stapler,and subjected to longitudinal incision ＆ transverse suture of 2-3 sites of stoma so as to make the size of double transverse finger could be through it. After the operation follow-up of 6-12 monthes was done. As results,in A group incidence of rectal stenosis was 1.16%（1/86）, in B group 12.5%（10/80） ,in C group 0（0/220）. These results show that PPH with stapler plus longitudinal incision ＆ transverse suture of stoma could effectively prevent rectal stenosis.
出处
《中国肛肠病杂志》
2008年第2期38-39,共2页
Chinese Journal of Coloproctology
