摘要
目的探讨选择性痔上黏膜切除术(TST)和吻合器痔上黏膜环切术(PPH)治疗重度内痔的临床疗效及并发症的发生率。方法前瞻性地将167例重度内痔患者随机分为TST组(82例)和PPH组(85例),评估两组术后3个月疗效和并发症的发生率。结果术后3个月,在症状改善方面,两组的差异无统计学意义(P>0.05)。两组手术时间、术中出血量比较差异无统计学意义(P>0.05)。TSH组术后12h,24h,初次排便的疼痛评分低于PPH组,差异具有统计学意义(P<0.05),而两组术后第3d,5d,7d的疼痛评分比较差异无统计学意义(P>0.05)。两组患者术后均无肛门狭窄、大便失禁。TST组7例术后发生尿潴留,PPH组10例,两组比较差异无统计学意义(P>0.05)。两组患者的术后住院时间、住院费用、术后3个月的满意度的比较差异无统计学意义(P>0.05)。结论 TST和PPH在治疗重度内痔的近期疗效及安全性基本相似,但远期疗效仍有待更长时间的随访研究。
Objective To compare the clinical effect and complication on treatment of severe hemorrhoids： Tissue selecting therapy stapler （TST} and Procedure for prolapse and hemorrhoids （PPH）. Methods 167 cases of severe hemorrhoids were randomized to receive TST or PPH treatment, efficacy and complications were assessed after three months. Results There were no significant different in symptom improvement be- tween TST and PPH （ P 〉0. 05}. And operative time and blood loss between TST and PPH wash＇ t difference （ P 〉0. 051. 12h, 24h and initial defecation after surgery, the pain scores in TST group was lower than that of PPH group （ P 〈0.05}, but there was no difference at 3rd,5th and 7th. Neither two group had anal stenosis and fecal incontinence. 7 patients in THT group had urinary retention while 10 in PPH group. , and the difference wasn＇t significance（ P 〉0.05）. The difference in postoperative hospital stay, hospitalization expenses and satisfaction after 3 month between TST and PPH wasn＇t significance. Conclusion In severe hemorrhoids patients, the recent curative effect and safety of TST and PPH were sim- ilar. However, the long-term curative effect need more study.
出处
《结直肠肛门外科》
2013年第3期140-144,共5页
Journal of Colorectal & Anal Surgery
关键词
内痔
选择性痔上黏膜切除术
吻合器痔上黏膜环切术
Hemorrhoids
Tissue selecting therapy stapler
Precedure for prolapse and hemorrhoids
