吻合器痔上黏膜环切钉合术15年疗效再评估
Re-evaluation of the application of procedure for prolapse and hemorrhoids in the last 15 years
吻合器痔上黏膜环切钉合术(PPH)是近10余年来发展起来的治疗重度痔的一项重要技术,其治疗原理基于“肛垫”学说,与传统痔核切除手术相比,具有手术时间短、术后疼痛轻、住院天数少和功能恢复较快等优势,但术后复发和痔核的再次脱出发生率也较高.此外,PPH对于因直肠前突等原因引起的出口梗阻型便秘近期疗效也较佳.
更多Procedure for prolapse and hemorrhoids (PPH) is one of the important techniques developed for the treatment of hemorrhoids with severe degree in the last decade.Its principle is based on the "anal cushion" theory.Compared with traditional hemorrhoidectomy,PPH has advantages of shorter operation time,minor degree of postoperative pain,shorter hospital stay and quicker recovery.However,the occurrence of relapse and re-prolapse of hemorrhoids is high.Besides,the short-term efficacy of PPH for the constipation outlet obstruction caused by anterior rectocele is also favorable.
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