PPH与Milligan-Morgan改良手术的比较与选择(1)
PPH与Milligan-Morgan改良手术的比较与选择,混合痔,吻合器痔切除术,Milligan-Morgan手术
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【摘要】 目的 探讨Milligan-Morgan改良手术与吻合器痔切除术(procedure for prolapse and hemorrhoids,PPH)在混合痔治疗中的应用价值。方法 收集50例分别接受了Milligan法和PPH手术进行治疗的Ⅱ～Ⅳ度混合痔患者,对两种术式疗效、手术时间、术后恢复时间、并发症等进行比较分析。结果 与Milligan手术方式相比,PPH手术方式可明显缩短手术时间和住院时间、减少术后肛周疼痛,但费用较高,且对于脱垂的外痔皮赘治疗效果欠佳。结论 PPH与Milligan-Morgan改良手术各有优劣,应当针对不同病人慎重选择、互为补充。
【关键词】 混合痔;吻合器痔切除术;Milligan-Morgan手术
【Abstract】 Objective To investigate improved Milligan-Morgan haemorrhoidectomy and stapler hemorrhoidectomy(procedure for prolapse and hemorrhoids,PPH)in the treatment of mixed hemorrhoid.Methods 50 patients with Ⅱ~ Ⅳ mixed hemorrhoidwere treated with either Milligan or PPH.The surgical effect,operative time,postoperative recovery time and complications of the two groups were compared.Results The operative time,length of hospitalization and post-operation pain of the PPH group were reduced obviously compared with those of the Milligan group ......
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