摘要目的：评价吻合器痔上粘膜环切术治疗重度痔的疗效。方法：对328例重度痔进行吻合器痔上粘膜环切术治疗。结果：328例患者平均手术时间16分钟，住院时间3天，术后有出血者13例，疼痛须服镇痛药127例，1例复发，无直肠阴道瘘，无严重感染，近期随访无肛门狭窄，无大便失禁，远期疗效有待观察。结论：PPH术治疗重度混合痔是一种安全、有效的方法，手术简单，住院时间短，术后并发症少。

    关键词重度痔；PPH

    Abstract Objective：To evaluate the efficacy of PPH in treating severe hemorrhoids. Methods328patients with severe hemorrhoids performed surgical therapy with PPH.ResultsThe meanduration of operation was 16 mins and that of hospitalization was 3 days. Distinctive postoperative bleeding was found in 13 cases. 127 patients needed analgesic application, 1 case of recurrence was found. none rectovaginal fistula was occurred. After short time tracking, none ofserious infection , anal stenosis and incontinence were found. But long term efficacy did not known. ConclusionSurgical therapy with PPH is effective and simple intreatment of severe hemorrhoids with less postoperative complications andshorter hospitalized time.

    Key wordssevere hemorrhoids；PPH(Procedure for prolapse and hemorrhoids)

    吻合器直肠粘膜环切术(PPH)是基于对肛垫学说的全新认识而提出来的 ......