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痔上黏膜环行切除术与Milligan-Morgan术对Ⅲ、Ⅳ度痔治疗的比较
引用本文:张红,席亚鸣,王华曦,吴东波. 痔上黏膜环行切除术与Milligan-Morgan术对Ⅲ、Ⅳ度痔治疗的比较[J]. 暨南大学学报(自然科学与医学版), 2003, 24(4): 41-45
作者姓名:张红  席亚鸣  王华曦  吴东波
作者单位:暨南大学附属第一医院外科,广东,广州,510630
摘    要:目的:对痔上黏膜环行切除术(PPH)和Milligan-Morgan术治疗Ⅲ、Ⅳ度痔的临床效果进行比较。方法:将57例Ⅲ、Ⅳ度痔随机分为PPH组(27例)和Milligan-Morgan组(30例),分别进行手术治疗。对比分析手术时间、住院时间、术中出血量、术后疼痛等。结果:与Milligan-Morgan组比较,PPH组的手术时间及住院时间短,术中出血少,术后疼痛轻。结论:PPH在治疗Ⅲ、Ⅳ度脱垂性痔的近期疗效明显优于Milligan-Morgan术。

关 键 词:痔上粘膜环行切除术 痔 手术
文章编号:1000-9965(2003)04-0041-05
修稿时间:2003-02-26

Comparison of treatments for hemorrhoid between PPH and Milligan- Morgan hemorrhoidectomy
ZHANG Hong,XI Ya-ming,WANG Hua-xi,WU Dong-bo. Comparison of treatments for hemorrhoid between PPH and Milligan- Morgan hemorrhoidectomy[J]. Journal of Jinan University(Natural Science & Medicine Edition), 2003, 24(4): 41-45
Authors:ZHANG Hong  XI Ya-ming  WANG Hua-xi  WU Dong-bo
Abstract:Aim: To compare the short-term effect between the procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan hemorrhoidectomy in a randomized controlled trial. Methods: 57 patients with third or fourth stage hemorrhoidal prolapse were randomly assigned to PPH group (n=27) and Milligan-Morgan group (n=30). Data of operating time, pain index, blood loss in operation, and length of hospital stay after operation, etc were analyzed. Results: The PPH group comparing with Milligan-Morgan group had shorter operating time and hospital stay, less pain index and less blood loss in operation. Conclusion: The PPH is a safe and effective way for third or fourth stage hemorrhoidal prolapse and its short-term effect is better than that of Milligan-Morgan hemorrhoidectomy.
Keywords:PPH  hemorrhoids  Milligan-Morgan hemorrhoidectomy
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