Objective To summarize the clinical effect and the key part of operation of procedure for prolapse and hemorrhoids (PPH) in treatment for severe mixed hemorrhoids or circular hemorrhoids.
Method The data of 183 patients with severe mixed hemorrhoids or circular hemorrhoids underwent PPH in this hospital from August 2006 to November 2012 were analyzed retrospectively.
Results The operation time was (28.5±3.1) min. The operations were successfully completed at one-stage in all the patients. The average hospital stay was 5.2 d. No postoperative bleeding, fecal incontinence, and infection happened. No recurrence and complications such as postoperative rebleeding,anal stenosis, fecal incontinence, etc were found during 1 month to 3 years of follow-up with an average 26 months.
Conclusions PPH as a minimally invasive operation, every detail of it should be well performed in order to improve the clinical treatment effect and reduce complications of the patients with severe mixed hemorrhoids or circular hemorrhoids.
Citation:
ZHONG Wei,NI Xiegen,XIE Yinghai,.. Clinical Experience of Procedure for Prolapse and Hemorrhoids in Treatment for Severe Mixed Hemorrhoids. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2013, 20(5): 540-542. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
1. |
中华医学会外科学分会肛肠外科学组. 痔临床诊治指南(草案)[J]. 中华胃肠外科杂志, 2004, 7(5):415-416.
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2. |
Longon A. Treatment of hemorrhoids disease by reduction of mucosaand hemorrhoidal prolapse with a circular suturing device:a new procedure[C]. Rome, Italy:Proceedings of the 6th WorldCongress of Endoscopic Surgery, 1998:777-784.
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3. |
中华医学会外科学分会肛肠外科学组. 修订《痔上黏膜环形切除钉合术(PPH)暂行规范》会议纪要[J]. 中华胃肠外科杂志, 2005, 8(4):374.
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4. |
王业皇. 特色方药介绍//丁义江. 丁氏肛肠病学[M]. 北京:人民卫生出版社, 2006:205.
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5. |
曾晓峰, 黄进, 牛维益. 改良外剥内扎术治疗重度混合痔317例分析[J]. 结直肠肛门外科, 2006, 12(5):300-301.
|
6. |
刘丰. 高频电刀联合PPH治疗重度混合痔[J]. 中国医药导报, 2010, 7(32):31-32.
|
7. |
鲁钰, 徐飞鹏, 黄永红. PPH手术治疗环状混合痔180例与传统手术疗效对比分析[J]. 中国当代医药, 2009, 16(15):54-55.
|
8. |
林友彬, 李昭仪, 杨中权. PPH术联合外剥内扎术治疗环状混合痔(附120例报告) [J]. 结直肠肛门外科, 2009, 15(6):392-393.
|
9. |
严江. 吻合器痔上黏膜环切术(PPH)及其术后出血的处理[J]. 实用医技杂志, 2005, 12(3):355-356.
|
10. |
Palimento D, Picchio M, Attanasio U, et al. Stapled and open hemorrhoidectomy:randomized controlled trial of early results[J]. World J Surg, 2003, 27(2):203-207.
|
11. |
Lomanto D, Katara AN. Stapled haemorrhoidopexy for prolapsed haemorrhoids:short- and long-term experience[J]. Asian J Surg, 2007, 30(1):29-33.
|
12. |
胡丰良, 李玉英, 邱燕红, 等. PPH结合痔切除与Milligan-Morgan手术治疗重度痔的对比研究[J]. 大肠肛门病外科杂志, 2003, 9(z1):22-23.
|
13. |
孟韬, 吴娜, 孔庆峰, 等. PPH术结合外痔切除治疗老年重度混合痔50例[J]. 中国老年学杂志, 2009, 29(21):2817-2818.
|
14. |
孙平良, 肖振球, 李晶. 109例吻合器痔上黏膜环切术后3年疗效分析[J]. 结直肠肛门外科, 2010, 16(4):212-214.
|
15. |
Gould RP. Sensory innervation of the anal canal[J]. Nature, 1960, 187:337-338.
|
16. |
傅传刚. PPH治疗重度痔病[J]. 大肠肛门病外科杂志, 2004, 10(3):163-164.
|
17. |
Pescatori M. Pain after stapled haemorrhoidectomy[J]. Lancet, 2000, 356(9248):2188.
|
18. |
任东林. PPH手术治疗痔病的适应证及应用注意事项[J]. 大肠肛门病外科杂志, 2003, 9(增刊):7-8.
|
19. |
李胜龙, 尹廷宝, 张熙, 等. 吻合器痔上黏膜钉合术治疗重度混合痔的临床应用价值[J]. 中国实用外科杂志, 2005, 25(3):167-169.
|
20. |
傅传刚, 张卫, 王汉涛, 等. 吻合器环形痔切除术[J]. 中国实用外科杂志, 2001, 21(11):653-654.
|
21. |
张士周. 吻合器痔上黏膜环切术(PPH)治疗痔疮的临床探究[J]. 中国医药指南, 2012, 10(19):260-261.
|
22. |
杨新庆, 韩进. 吻合器痔上粘膜钉合术学术研讨会纪要[J]. 中华外科杂志, 2002, 40(10):795-796.
|
23. |
钟芸诗, 姚礼庆. 复方角菜酸酯栓在痔上黏膜环形切除钉合术后的临床应用评价[J]. 中华胃肠外科杂志, 2005, 8(4):319-321.
|
24. |
韩少良, 倪士昌. 大肠肛门疾病外科治疗[M]. 北京:人民军医出版社, 2010:56-58.
|
25. |
吴维敏, 伊俊峰, 何国平. 吻合器痔上黏膜环形切除术治疗重度痔45例临床分析[J]. 中国普外基础与临床杂志, 2013, 20(2):137.
|
- 1. 中华医学会外科学分会肛肠外科学组. 痔临床诊治指南(草案)[J]. 中华胃肠外科杂志, 2004, 7(5):415-416.
- 2. Longon A. Treatment of hemorrhoids disease by reduction of mucosaand hemorrhoidal prolapse with a circular suturing device:a new procedure[C]. Rome, Italy:Proceedings of the 6th WorldCongress of Endoscopic Surgery, 1998:777-784.
- 3. 中华医学会外科学分会肛肠外科学组. 修订《痔上黏膜环形切除钉合术(PPH)暂行规范》会议纪要[J]. 中华胃肠外科杂志, 2005, 8(4):374.
- 4. 王业皇. 特色方药介绍//丁义江. 丁氏肛肠病学[M]. 北京:人民卫生出版社, 2006:205.
- 5. 曾晓峰, 黄进, 牛维益. 改良外剥内扎术治疗重度混合痔317例分析[J]. 结直肠肛门外科, 2006, 12(5):300-301.
- 6. 刘丰. 高频电刀联合PPH治疗重度混合痔[J]. 中国医药导报, 2010, 7(32):31-32.
- 7. 鲁钰, 徐飞鹏, 黄永红. PPH手术治疗环状混合痔180例与传统手术疗效对比分析[J]. 中国当代医药, 2009, 16(15):54-55.
- 8. 林友彬, 李昭仪, 杨中权. PPH术联合外剥内扎术治疗环状混合痔(附120例报告) [J]. 结直肠肛门外科, 2009, 15(6):392-393.
- 9. 严江. 吻合器痔上黏膜环切术(PPH)及其术后出血的处理[J]. 实用医技杂志, 2005, 12(3):355-356.
- 10. Palimento D, Picchio M, Attanasio U, et al. Stapled and open hemorrhoidectomy:randomized controlled trial of early results[J]. World J Surg, 2003, 27(2):203-207.
- 11. Lomanto D, Katara AN. Stapled haemorrhoidopexy for prolapsed haemorrhoids:short- and long-term experience[J]. Asian J Surg, 2007, 30(1):29-33.
- 12. 胡丰良, 李玉英, 邱燕红, 等. PPH结合痔切除与Milligan-Morgan手术治疗重度痔的对比研究[J]. 大肠肛门病外科杂志, 2003, 9(z1):22-23.
- 13. 孟韬, 吴娜, 孔庆峰, 等. PPH术结合外痔切除治疗老年重度混合痔50例[J]. 中国老年学杂志, 2009, 29(21):2817-2818.
- 14. 孙平良, 肖振球, 李晶. 109例吻合器痔上黏膜环切术后3年疗效分析[J]. 结直肠肛门外科, 2010, 16(4):212-214.
- 15. Gould RP. Sensory innervation of the anal canal[J]. Nature, 1960, 187:337-338.
- 16. 傅传刚. PPH治疗重度痔病[J]. 大肠肛门病外科杂志, 2004, 10(3):163-164.
- 17. Pescatori M. Pain after stapled haemorrhoidectomy[J]. Lancet, 2000, 356(9248):2188.
- 18. 任东林. PPH手术治疗痔病的适应证及应用注意事项[J]. 大肠肛门病外科杂志, 2003, 9(增刊):7-8.
- 19. 李胜龙, 尹廷宝, 张熙, 等. 吻合器痔上黏膜钉合术治疗重度混合痔的临床应用价值[J]. 中国实用外科杂志, 2005, 25(3):167-169.
- 20. 傅传刚, 张卫, 王汉涛, 等. 吻合器环形痔切除术[J]. 中国实用外科杂志, 2001, 21(11):653-654.
- 21. 张士周. 吻合器痔上黏膜环切术(PPH)治疗痔疮的临床探究[J]. 中国医药指南, 2012, 10(19):260-261.
- 22. 杨新庆, 韩进. 吻合器痔上粘膜钉合术学术研讨会纪要[J]. 中华外科杂志, 2002, 40(10):795-796.
- 23. 钟芸诗, 姚礼庆. 复方角菜酸酯栓在痔上黏膜环形切除钉合术后的临床应用评价[J]. 中华胃肠外科杂志, 2005, 8(4):319-321.
- 24. 韩少良, 倪士昌. 大肠肛门疾病外科治疗[M]. 北京:人民军医出版社, 2010:56-58.
- 25. 吴维敏, 伊俊峰, 何国平. 吻合器痔上黏膜环形切除术治疗重度痔45例临床分析[J]. 中国普外基础与临床杂志, 2013, 20(2):137.