Clinical study on procedure for prolapse and hemorrhoids (PPH) in treating hemorrhoids

VernacularTitle:采用痔上黏膜环切吻合器治疗重度痔临床研究
Author: Hongwei JIANG ; Ju WANG ; Haijun LI ; Jikui PENG ; Xiaoping GAO
Publication Type:Journal Article
Keywords: Hemorrhoids; Procedure for prolapse and hemorrhoids
From: Chinese Journal of Primary Medicine and Pharmacy 2014;21(11):1601-1603,后插1
CountryChina
Language:Chinese
Abstract: Objective To observe the clinical effect of procedure for prolapse and hemorrhoids (PPH) in treating hemorrhoids.Methods 78 patients with symptomatic Ⅱ,Ⅲ and Ⅳ degree hemorrhoids undergoing PPH were selected in this study.The diagnosis,medical history,operative time,blood loss and perioperative complications were recorded.The World Health Organization Quality of Life Scale(WHOQOL-BREF) was observed preoperation and 6 hours,24 hours,1 month postoperation.Results The postoperative pain score measured by visual analogue scale (VAS) at postoperative six hours was (7.6 ± 2.1),which reduced to (1.3 ± 1.1) at 24 hours.There was significant improvement in the overall perception of QOL,health,and in physical and psychological domains (t =1.901,1.805,1.714,P =0.041,0.038,0.029,all P ＜ 0.05).There was modest improvement in environmental domain,while no change was found in social domain (P ＞ 0.05).Conclusion PPH surgery achieves good clinical results,improved quality of life of patients,with a low incidence of complications,patients with hemorrhoids should be recommended for this preferred surgical approach.