摘要
目的评价吻合器痔上黏膜环切钉合术(PPH)与选择性痔上黏膜切除钉合术(TST)治疗老年内痔病人的有效性与安全性。方法采用随机对照的试验方法,将2016年1~9月于中国人民解放军兰州军区乌鲁木齐总医院肛肠科住院治疗的Ⅲ~Ⅳ期的老年内痔病人,分为TST组30例,PPH组30例,比较2组治疗后的有效性与安全性。结果 TST组术后第1天肛门疼痛积分低于PPH组(P<0.05)。治疗3月后,PPH组和TST组的总有效率分别是93.33%和96.67%,2组间差异无统计学意义(P>0.05)。PPH组术后3月肛门狭窄评分和肛门便控积分与TST组比较,差异亦无统计学意义(P>0.05)。结论 TST与PPH治疗老年内痔病人均有着良好的有效性,TST安全性更高。
Objective To evaluate the effectiveness and safety of tissue-selecting therapy（TST）and procedure for prolapse and hemorrhoids（PPH） in the treatment of hemorrhoids in the elderly.Methods A randomized controlled study was performed from January to September 2016 in Department of Anorectal of Xinjiang General Hospital of Lanzhou Military Command of PLA.Sixty elderly patients with stage Ⅲ-Ⅳ hemorrhoid were randomly divided into TST group（receiving TST） and PPH group（receiving PPH）,with 30 cases in each group.The effectiveness and safety of the two groups were compared after treatment.Results The postoperative anal pain one day after the treatment in TST group was lower than that in PPH group（P〈0.05）.The total effective rate ofter three months of PPH group and TST group was 93.33% and 96.67%,with no significant difference between the two groups（P〈0.05）.After three months,the anal stenosis score and anal control points showed no significant differences between PPH group and TST group（P〉0.05）.Conclusions TST and PPH show similar efficacy in the treatment of hemorrhoid in the elderly patients,and TST shows higer safety.
作者
张管平
夏宏娟
夏虎平
ZHANG Guan-ping XIA Hong-juan XIA Hu-ping.(Department of Anorectal, Urumqi General Hospital of Lanzhou Military Command of PLA, Urumqi 830000, Chin)
出处
《实用老年医学》
CAS
2017年第7期637-639,共3页
Practical Geriatrics
