摘要目的评估大号肛痔吻合器(PPH)在环状痔手术中应用的安全性及优越性。方法应用KGZ-32管型肛痔吻合器对62例环状痔进行手术治疗。结果手术时间短,平均21 m in,平均住院日5.5 d,除1例伤口感染术后15 d出现大便带血外,其他病例皆工期愈合。结论与传统手术相比,吻合器环状痔手术具有手术简单、出血少、术后疼痛轻、恢复快、复发率低、并发症少等特点,但远期效果需继续观察随访。
5Dr. Francesco Gabrielli M.D.,Marco Chiarelli M.D.,Ugo Cioffi M.D.,Angelo Guttadauro M.D.,Matilde Simone M.D.,Piero Mauro M.D.,Alessandro Arriciati M.D.. Day surgery for mucosal-hemorrhoidal prolapse using a circular stapler and modified regional anesthesia[J] 2001,Diseases of the Colon & Rectum(6):842~844
2Law WL, Chu KW. Triple rubber band ligation for hemorrhoids:prospective, randomized trial of use of local anesthetic injection.Dis Colon Rectum, 1999, 42: 363-366.
3Mehigan B J, Monson JR, Harlley JE. Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy:randomised controlled trial. Lancet, 2000, 355: 782-785.
4Thomson WH. The nature of haemorrhoids. Br J Surg, 1975, 62:542-552.
5Longo A. Treatment of hemorrhoids disease by reduction of mucosa and haemorrhodial prolapse with a circular suturing device: a new procedure. Proceeding of 6th World Congress of Endoscopic Surgery, 1998. 777-784.
6Shalaby R, Desoky A. Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy. Br J Surg, 2001, 88: 1049-1053.
7Beattie GC, Lam LPH, London MA. A prospective evaluation of the introduction of circumgerential stapled anoplasty in the management of haemorrhoids and mucosal prolapse. Colorectal Dis, 2000, 2: 137-142.
8Cheetham M J, Mortensen NJ, Nystrom PO, et al. Persistent pain and faecal urgency after stapled haemorrhoidectomy. Lancet,2000, 356: 730-733.
9Seow-Choen F. Stapled haemorrhoidectomy: pain or gain. Br J Surg, 2001, 88: 1-3.
10Capomagi A, Mannetta V, Balestrieri A, et al. Circular haemorrhoidectomy using a stapler: the gold standard for the treatment of haemorrhoids? Preliminary data regarding 206 consecutive patients. Ital J Coloproctol, 1999, 2: 39-43.