浅析改良PPH手术治疗重度痔临床价值.docVIP

精品论文 参考文献 浅析改良PPH手术治疗重度痔临床价值 黑龙江省黑河市嫩江县人民医院 161499 　　【摘 要】目的：评价分析改良PPH手术治疗重度痔的临床价值。方法：选取2013年2月-2014年6月笔者所在医院所接收56例重度痔患者，采取随机表数字法将其分为对照组与观察组，每组28例。对照组采用常规PPH手术治疗，观察组采用改良PPH手术治疗，观察两组患者手术时间、住院时间、术后复发、出血、水肿以及疼痛情况，并进行比较分析。结果：两组患者手术时间、术后水肿、疼痛及出血情况比较差异均无统计学意义（Pgt;0.05）。观察组患者住院时间明显短于对照组，且术后复发率明显低于对照组，两组比较差异均有统计学意义（Plt;0.05）。结论：采用改良PPH手术治疗重度痔，安全且有效，手术适应范围更为广泛，并发症少且复发率低，可使住院时间明显缩短，在临床中值得推广应用。 　【关键词】重度痔；改良PPH手术 　　[Abstract] Objective：To evaluate the clinical value of improved PPH operation in the treatment of severe hemorrhoids. Methods：select the June -2014 year in February 2013 the authors hospital received 56 cases of severe hemorrhoids patients，take random table number method will be divided into control group and observation group，each group of 28 cases. The control group using conventional PPH surgery，the observation group was treated with modified PPH surgical treatment，observation of two groups of patients with operation time，hospitalization time，postoperative recurrence，hemorrhage，edema and pain，and comparative analysis. Results：there was no significant difference in operation time，postoperative edema，pain and bleeding between the two groups (Pgt;0.05). The hospitalization time of observation group was significantly shorter than that of control group，and the recurrence rate was significantly lower than that of control group，the difference between the two groups was statistically significant (Plt;0.05). Conclusion：the modified PPH operation in the treatment of severe hemorrhoids，safe and effective，more widely used to adapt to the operation，fewer complications and low recurrence rate，can shorten the hospital stay，and is worth popularizing in clinical practice. 　　[Key words] severe hemorrhoids；modified PPH operation 　　 　　 　　伴随着国民经济水平和医疗技术水平的提高，关于痔治疗法也随之增多[1]。PPH手术是目前国内外治疗痔的一种常用方式，从大量临床实践情况来看，虽然该手术可获得良好治疗效果，但是也存在着一定的不足[2-3]。鉴于此，笔者所在医院近年来对PPH手术实施了改良，并应用于重度痔的治疗，获得了显著效果，本次研究就改良PPH手术治疗重度痔的临床价值进行研究和分析。 　1 资料与方法 　1.1 一般资料 　选取2013年2月-2014年6月笔者所在医院所接收的56例重度痔患者作为本次研究对象，所