关键词: 吻合器痔上黏膜环切术, 抗凝治疗, 内痔

Abstract: 【Abstract】〓Objective〓To evaluate the efficacy and safety of surgical procedure for prolapse and hemorrhoids (PPH) in patients treating with anticoagulant (anticoagulated group). Methods〓From Jan 2009 to Dec 2011,36 patients with cardiovascular diseases treated with anticoagulant and 49 patients without anticoagulated therapy (control group) were included in this study. All patients underwent procedure for prolapse and hemorrhoids. A comparison was done between the two groups in terms of the following items: operation time, intraoperative and postoperative blood loss and the incidence of cardiovascular and cerebrovascular diseases,postoperative cure rate of prolapse and bleeding, significant postoperative anal pain,incontinence,anal stenosis,and hospital stay. Results〓All patients were cured. The differences between the anticoagulated group and control group were significant in terms of and postoperative blood loss(P<0.05),and no significant differences were noted in other items. Postoperative hemorrhage with a volume of 200ml to 500 ml happened in one case in anticoagulated group and 2 cases in control group, and were cured by conservative treatment. No case needed blood transfusion. Conclusion〓It is safe and effective for patients with cardiovascular diseases treated with anticoagulant.

Key words: Procedure for prolapse and hemorrhoids, Anticoagulant therapy, Hemorrhoids