改良PPH手术治疗重度痔的临床效果观察

目的：观察改良PPH手术治疗重度痔的临床效果.方法：选取我院收治的重度痔患者240例,按照数字随机法,将其随机分成观察组和对照组,对照组采取传统PPH手术治疗,观察组则采取改良PPH手术治疗,比较两组临床效果.结果：观察组术后肛缘水肿发生率0.83%,对照组术后肛缘水肿发生率9.17%,观察组术后肛缘水肿发生率明显低于对照组,差异有统计学意义（P〈0.05）.观察组术后痔复发脱出发生率0.00%,对照组术后痔复发脱出发生率8.33%,观察组术后痔复发脱出发生率明显低于对照组,差异有统计学意义（P〈0.05）.结论：改良PPH术扩展了基础术式的适应证,并且治疗效果显著,并发症发生率低,术后痔复发脱出率低,具有较高的临床价值.

Observation of the Clinical Effect of Improved PPH Surgery on Severe Hemorrhoid

Objective： To observe the clinical effect of improved procedure for prolapse and hemorrhoids（PPH） on severe hemorrhoid. Methods： 240 cases of severe hemorrhoid in our hospital were randomly divided into an observation group and a control group, 120 cases in each group. The observation group was treated with improved PPH and the control group was treated with traditional PPH, the clinical effects of the two groups were compared. Results： The incidence rate of crissal edema after surgery in the observation group was 0.83%, in the control group was 9.17%, the observation group was much lower than the control group, and there was statistical significance（P〈 0.05）. The incidence rate of hemorrhoid recurrence and prolapse after surgery in the observation group was 0.00%, in the control group was 8.33%, the observation group was much lower than the control group, and there was statistical significance（P 〈0.05）. Conclusion： Improved PPH extended the basic operation indications with remarkable therapeutic effect, less complications, less recurrence and prolapse, so it has a high clinical value.