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单荷包波浪状缝合四点牵引改良PPH术在重度痔手术中的应用

The Application of Reformed PPH with Single Wave-like Purse String Suture and 4 Point’s Pull in Treating Severe Hemorrhoids

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【作者】 唐言华刘继武刘品泛李春来耿协强耿玲吴正阳段泽艳

【Author】 Tang Yanhua;Liu Jiwu;Liu Pinfan;Li Chunlai;Geng Xieqiang;Geng Ling;Wu Zhengyang;Duan Zeyan;Department of Surgery, the First People’s Hospital of Guiyang;Department of Surgery, Military Hospital No.59;Military Hospital No.44;

【机构】 贵阳市第一人民医院普通外科二病区解放军59医院普通外科解放军44医院

【摘要】 目的探讨应用单荷包波浪状缝合四点牵引改良PPH术治疗重度痔的效果。方法分析128例重度痔患者应用单荷包波浪状缝合四点牵引改良PPH术治疗的临床资料及随访结果。结果 128例患者均一次吻合成功,术中未出现1例粘膜下层血肿形成病例,术后脱出的痔核均完全回纳,经随访未出现复发病例,无一例外痔残留。结论单荷包波浪状缝合四点牵引改良PPH术治疗重度痔操作简单,并发症少,疗效可靠,值得推广应用。

【Abstract】 Objective To discuss the effect of reformed PPH with single wave-like purse string suture and 4 point’s pull on severehemorrhoids. Methods An analysis was made to the clinical data and the follow-up of 128 cases with severe hemorrhoids treated by reformed PPH. Results The operations in the 128 cases were all successful with only one anastomosis, no case with submucosal hematoma was found in operation and complete reduction of hemorrhoid prolapsus was gained in all the cases after operation; follow-up showed no case of reoccurrence and no case with residual of external hemorrhoids. Conclusions Reformed PPH with single wave-like purse string suture and 4 point’s pull is of simple operation, less complications and reliable curative effect, it is worthy of wide clinical application.

  • 【文献出处】 西南军医 ,Journal of Military Surgeon in Southwest China , 编辑部邮箱 ,2017年02期
  • 【分类号】R657.18
  • 【被引频次】3
  • 【下载频次】35
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