使用自動吻合器環狀切除痔瘡之術後併發症

Complications after Stapled Hemorrhoidectomy

葉俊廷(Jun-Ting Yeh) ； 胡煒明(Wei-Ming Hu) ； 游福田(Fu-Tien Yu) ； 周建聖(Jen-Shen Jou)

《北市醫學雜誌》 2卷10期 (2005/10) Pp. 921-925

https://doi.org/10.6200/TCMJ.2005.2.10.06

摘要

目的：針對接受痔瘡環狀切除自動吻合器手術後患者發生之併發症作一探討。方法：自2001年3月至2004年6月間200位接受痔瘡環狀切除自動吻合器手術的病患，男性及女性病患分別為117人及83人，平均年齡為44歲，17人為二度痔瘡，128人為三度痔瘡。並以回溯性病歷分析分析其所發生之併發症。結果：發生術後併發症的比例為31％。其中手術後出血的比例為2.5%，術後急性尿滯留的比例為26.5%，術後肛門狹窄的比例為2％。結論：只要有經驗的醫師執行之下，痔瘡環狀切除手術的併發症大多是可以控制的，並可減少併發症發生的機率。

關鍵字

痔瘡環狀切除術 ； 併發症 ； 痔瘡切除術 ； 自動吻合器

並列摘要

Background and Purpose: To evaluate the complications in patients undergoing stapled hemorrhoidectomy. Methods: From March 2001 to June 2004 a total of 200 patients who had undergone stapled hemorrhoidectomy were enrolled into this study. There were 117 men and 83 women with a mean age of 44 years. Second degree hemorrhoids were diagnosed in 17 patients, while third degree hemorrhoids were found in 128 patients. Retrospective chart review was used for data collection and further analysis. Results: The overall complication rate was 31%. The incidence of post-operative bleeding was 2.5%. The incidence of acute urine retention was 26.5% and of post-operative anal stenosis 2%. Conclusion: In experienced hands, complications after stapled hemorrhoidectomy can be controlled and the incidence reduced.

並列關鍵字

procedure for prolapse and hemorrhoids ； complications ； hemorrhoidectomy ； stapled