摘要
目的:探讨选择性痔上黏膜吻合(TST)微创术对混合痔患者并发症及肛肠动力学的影响。方法:选取2012-12~2015-12我院诊治的混合痔患者100例,依据治疗方法分为常规组和TST组,每组50例。常规组给予常规外剥内扎术治疗,TST组给予TST微创术治疗。统计分析所有患者的治疗疗效、并发症发生率、复发率和术前、术后肛肠动力学指标肛管高压区长度(HPZ)、肛门静息压(ARP)、最大收缩压(MSP)的水平。结果:TST组治疗有效率明显高于常规组;并发症发生率及复发率明显低于常规组(P<0.05);TST组术后HPZ、ARP、MSP水平明显高于常规组,差异有统计学意义(P<0.05)。结论:TST微创术可有效降低混合痔患者并发症发生率及复发率,有利于改善患者肛肠动力,且具有更好的治疗疗效。
Objective：To discuss the effect of tissue selecting therapystapler （TST） minimally invasive surgery for complication and colo- anarectal dynamics in patients with mixed hemorrhoid. Methods： A total of 100 patients with mixed hemorrhoid were selected from December 2012 to December 2015 in our Hospital. According to the treatment method, all patients were divided into normal group and TST group,50 cases in each group.Normal group was given routine milligan--morgan hemorrhoidectomy treatment, TST group was given TST minimally invasive surgery treatment. Treatment efficacy, complications, recurrence and preoperative postoperative anorectal dynamics such as demonstrate high length （HPZ）, and resting pressure（ARP）, maximum systolic blood pressure （MSP） were statistically analyzed. Results： The therapeutic efficient rate of TST group was significantly higher than that of normal group,the complication rate and the recurrence rate of TST group were significantly lower than that of normal group.The postoperative HPZ, ARP, MSP levels of TST group was significantly higher than those of normal group, the differences were statistically significant （p^0.05）.Conclusion：TST minimally invasive surgery can effectively reduce the complication rate and recurrence rate in patients with mixed hemorrhoid, it is helpful to improve the patientswith colo--anarectal dynamics, and it has a better curative effect.
出处
《西北国防医学杂志》
CAS
2017年第10期684-687,共4页
Medical Journal of National Defending Forces in Northwest China
