Abstract: 【Abstract】〓Objective〓To investigate the causes and therapeutical strategies for postoperative ble-eding following procedure for prolapse and hemorrhoida(PPH). Method〓The clinical data from 15 patients with postoperative bleeding following PPH were retrospectively analyzed. The cause of postoperative bleeding was also analyzed. Results〓Of 15 cases with postoperative bleeding, bleeding happened within 12 hours after PPH in 9 cases and between 5 to 10 days in 6 cases. All patients with postoperative bleeding were cured by local compression, astringent and re-surgery. The postoperative bleeding was associated with surgical skills, coagulation function, constipation and strenuous exercise. Conclusion〓There are several causes for postoperative bleeding following PPH. The postoperative bleeding following PPH could be well treated according to its specific causes.

Key words: Procedure for prolapse and hemorrhoida, Complication, Bleeding, Hemorrhoida

摘要： 【摘要】〓目的〓探讨吻合器痔上粘膜环切术(PPH)后出血的相关原因以及相应的对策。方法〓回顾分析我院15例PPH术后出血患者的临床资料,分析出血原因。结果〓9例术后12 h内出血,6例术后5至10天出血,所有患者经局部压迫止血、使用止血剂等保守治疗或再次手术均成功止血,无一例死亡。出血原因可能与手术技术、凝血功能、术后便秘、激烈运动等有关。结论〓PPH术后出血的原因较多,应具体分析,针对相关的原因采用相应的对策才能达到最好的临床效果。

关键词: PPH, 并发症, 出血, 痔