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目的探讨经肛门吻合器痔环切术(PPH)偏心性切除吻合对直肠良性肿瘤的治疗效果。方法选取2012年6月到2014年6月间安徽省蚌埠医学院收治的104例直肠良性肿瘤患者为研究对象,按照随机数字表法分为对照组与观察组,对照组50例,观察组54例,对照组患者行传统肛门手术治疗,观察组患者行经肛门PPH偏心性切除吻合术,比较两组患者的治疗有效率及术后并发症发生情况。结果治疗后,两组患者病情均好转,观察组患者的总有效率为96.3%,显著高于对照组的84.0%,差异有统计学意义(P<0.05);观察组患者的术后恢复时间为(6.32±2.46)d,术后疗效评分为(9.36±0.32)分,远高于对照组的(10.87±3.15)d、(7.13±0.74)分,差异均有统计学意义(均P<0.05)。观察组患者的并发症发生率9.3%,低于对照组的16.0%,差异无统计学意义(P>0.05)。结论经肛门PPH偏心性切除吻合治疗直肠良性肿瘤疗效显著,手术操作简单、恢复迅速,术中出血量少,术后并发症发生率低,值得临床广泛推广。
Objective To investigate the effect of anastomosis hemorrhoidectomy (PPH) eccentric resection and anastomosis on benign rectal tumors. Methods Totally 104 patients with rectal benign tumor admitted to Bengbu Medical College of Anhui Province between June 2012 and June 2014 were divided into control group and observation group according to random number table method, control group (n = 50) and observation group (n = 54) Cases, the control group of patients underwent traditional anal surgery, the observation group patients undergoing anal PPH eccentric resection and anastomosis, the two groups of patients compared the efficiency and postoperative complications. Results After treatment, the patients in both groups got better. The total effective rate in the observation group was 96.3%, significantly higher than that in the control group (84.0%, P <0.05). The recovery time in the observation group (6.32 ± 2.46) d, and the postoperative efficacy score was (9.36 ± 0.32) points, which was much higher than that of the control group (10.87 ± 3.15) d and (7.13 ± 0.74) points respectively (all P < 0.05). The incidence of complication in the observation group was 9.3%, which was lower than that in the control group (16.0%), the difference was not statistically significant (P> 0.05). Conclusions The treatment of rectal benign tumors by anus PPH eccentric excision is significant, the operation is simple, rapid recovery, less blood loss, the incidence of postoperative complications is low, it is worth widely clinical promotion.