摘要
目的探讨选择性痔上黏膜切除钉合术(TST)与痔上黏膜环状切除吻合术(PPH)治疗重度混合痔的临床疗效。方法将该院2012年10月至2013年12月收治的120例重度混合痔患者按随机数字表法分为TST组和PPH组各60例,分别采用TST和PPH治疗,对比分析两组患者的总疗效、手术时间、术中出血量、术后疼痛评分、术后便血评分、住院时间、肛门坠胀感、肛门狭窄、尿潴留、复发、满意度评分等指标。结果 PPH组治愈率为91.7%(55/60),TST组治愈率为90.0%(54/60),但两组比较,差异无统计学意义(P>0.05);TST组患者术中出血量、术后疼痛评分、尿潴留、肛门坠胀感、术后便血评分、满意度评分、住院时间等均优于PPH组,差异均有统计学意义(P<0.05);两组患者手术时间、肛门狭窄、复发等比较,差异均无统计学意义(P>0.05)。结论与PPH比较,TST具有创伤小、恢复快、并发症少、患者满意度高等优点,值得在临床进一步推广应用。
Objective To investigate the clinical efficacy of tissue-selecting therapy （TST） and procedure for prolapse and hemorrhoids （PPH） in the treatment of severe mixed hemorrhoids. Methods One hundred and twenty patients with severe mixed hemorrhoids treated in our hospital from October 2012 to December 2013 were divided into the TST group and PPH group according to the random number table method, 60 cases in each group. The two groups respectively adopted the TST and PPH therapy. The total effect,operation time,intraoperative hemorrhage,postoperative pain score,postoperative hemafecia score, hospitalization duration ,anal tenesmus feeling,anal stenosis ,urine retention ,recurrence and satisfaction score were compared between the two groups. Results The cure rate in the PPH group was 91.7% （55/60） and which in the TST group was 90.0% （54/60）, the difference between the two groups was not statistically significant （P〉0.05） ;the TST group was superior to the PPH group in the aspects of intraoperative hemorrhage, postoperative pain score, urinary retention, rectal tenesmus feeling,postoperative hemafecia socre,satisfaction score and hospitalization duration,the differences were statistically significant （P〈0.05） ;there was no difference in the operative time, anal stenosis and postoperative recurrence between the two groups （P〉0.05）. Conclusion Compared with PPH, TST has the advantages of less trauma, quick recovery, fewer complications and higher satisfaction, and is worth further promotion in clinic.
出处
《现代医药卫生》
2016年第19期2966-2967,2971,共3页
Journal of Modern Medicine & Health
