摘要
目的研究混合痔行PPH术和TST术的疗效。方法将101例混合痔患者,根据手术方法不同,分为接受PPH术的对照组51例和TST术的观察组50例,比较两组患者的手术情况、疼痛评分、肛门功能以及生活质量。结果观察组的手术时间(23.1±5.2)min、术中出血量(4.2±0.5)m L、卧床时间(1.2±0.3)d、住院时间(4.8±0.8)d,均明显低于对照组(P<0.05);观察组首次排便时间(1.5±0.3)d,术后1 d、2 d、3 d时的肛门疼痛评分分别为(3.8±0.4)分、(2.6±0.34)分、(1.9±0.3)分,均明显低于对照组(P<0.05);观察组肛管静息压(23.6±6.4)mm Hg,明显高于对照组,直肠耐受量(14.3±3.5)m L、直肠感觉阈值(2.2±0.5)m L,明显低于对照组(P<0.05);观察组物质生活维度、躯体健康、心理健康、社会功能评分分别为(54.2±7.24)分、(65.3±7.2)分、(65.5±8.4)分、(61.5±7.8)分,均高于对照组患者(P<0.05)。结论 TST术有助于减小手术创伤,促进术后恢复,改善肛门功能,提高生活质量,是混合痔理想的治疗方法。
Objective To study the effect of PPH operation and TST operation in treating mixed hemorrhoids. Methods 101 patients with mixed hemorrhoids in our hospital from 2011 January to2013 December were enrolled and divided into observation group undergoing TST operation and control group undergoing PPH operation. The operation condition, anal function and quality of life were compared.Results（ 1） operation condition： in TST group,the operation time（ 23. 1 ± 5. 2） min,blood loss volume（ 4. 2 ± 0. 5） ml,bed time（ 1. 2 ± 0. 3） d,hospitalization time（ 4. 8 ± 0. 8） d were significantly lower than those of control group;（ 2） pain score： the first defecation time（ 1. 5 ± 0. 3） d,1 d,2 d,3 d anal pain score（ 3. 8 ± 0. 4,2. 6 ± 0. 34,1. 9 ± 0. 3） of observation group were significantly lower than those of control group;（ 3） anal dynamics： anal resting pressure（ 23. 6 ± 6. 4） mm Hg of observation group was significantly higher than that of control group,rectum tolerance（ 14. 3 ± 3. 5） ml,rectal sensory threshold（ 2. 2 ± 0. 5） ml of observation group were significantly lower than those of control group;（ 4） quality of life： material life,physical health,mental health,social dimension score（ 54. 2 ± 7. 24,65. 3 ± 7. 2,65. 5 ± 8. 4,61. 5 ± 7. 8）of observation group were significantly higher than those of control group. Conclusion TST is an ideal therapeutic method in treating mixed hemorrhoids for it is helpful for reducing operation trauma,promoting postoperative recovery,and improving anal function and quality of life.
出处
《微创医学》
2014年第6期725-727,共3页
Journal of Minimally Invasive Medicine
关键词
混合痔
吻合器痔上黏膜环切术
开环式微创吻合术
肛门功能
Mixed hemorrhoids
Procedure for prolapse and hemorrhoids
Tissue selecting therapy stapler
Anal function
