摘要
目的:探讨开环式选择性痔上黏膜切除术(TST)治疗脱垂性痔和混合痔的临床疗效。方法 :将2009年5月—2011年5月收治的90例脱垂性痔和混合痔患者随机分为对照组和实验组。对照组45例,采用吻合器痔上黏膜环切钉合术(PPH)治疗;实验组45例,采用TST治疗。结果:实验组手术时间、术中出血量和住院时间均低于对照组,差异有统计学意义(P<0.05)。实验组术后24 h和初次排便的疼痛分数低于对照组(P<0.05)。实验组肛门坠胀评分、肛缘水肿评分、初次排便急便感发生率和吻合口狭窄发生率低于对照组(P<0.05)。实验组患者满意度高于对照组,差异有统计学意义(P<0.05)。2组治疗有效率和手术前后肛门动力学变化情况相比差异无统计学意义(P>0.05)。结论:TST是治疗脱垂性痔和混合痔的有效方法,而且可以减少术后并发症。
Objective： To investigate effect of tissue-selecting therapy stapler in treatment of prolapsed hemorrhoids. Methods： During May 2009 to May 2011, 90 patients with prolapsed hem- orrhoids were randomly divided into two groups. Control group included 45 patients used PPH. Test group included 45 patients used TST. Results： The operative time, blood loss and length of stay of test group were significantly lower than the control group （P〈0.05）. The pain scores at first defeca- tion and after 24h of test group were significantly lower than the control group （P〈0.05）. The anal bulge rate,anal margin edema score,urgent sense of initial defecation and anastomotic stricture rate of test group were significantly lower than control group（P〈0.05）. The satisfaction of test group was significantly higher than Control group （P〈0.01）.Treatment efficiency and anal dynamics of two groups before and after surgery had no signlfiCant difference （P〉0.05）. Conelusions： To used tis- sue-selecting therapy stapler in treatment of proiapsed hemorrhoids is effective to reduce postoper- ative complications,
出处
《中国现代普通外科进展》
CAS
2013年第9期692-694,共3页
Chinese Journal of Current Advances in General Surgery
