摘要
【目的】分析比较选择性痔上黏膜吻合术（Tissue-selecting Therapy Stapler,TST）和吻合器痔上黏膜环切术（procedure for prolapse and hemorrhoids,PPH）在混合痔患者中的治疗效果。【方法】选取2013年5月至2014年5月本院收治的100例混合痔患者,随机将其分为 TST 组（n =48）和 PPH 组（n =52）,比较两组患者的疗效,术中及术后的基本情况。【结果】两组患者疗效比较差异无统计学意义（P ＞0.05）。与PPH 组相比,TST 组患者手术时间及住院时间短,术中出血量少,尿潴留、水肿、肛门坠胀、术后出血、术后疼痛等术后并发症少,差异均具有统计学意义（P ＜0.05）。两组患者的满意度和吻合口狭窄并发症的比较,差异无统计学意义（P ＞0.05）。【结论】与 PPH 比较 TST 治疗混合痔操作简单,创伤小,患者术后恢复快,并发症少。
[Objective]To compare the curative effect of Tissue-selecting Therapy Stapler （TST）and pro-cedure for prolapse and hemorrhoids （PPH）in the treatment of patients with mixed hemorrhoid.[Method]One hundred cases of patients with mixed hemorrhoid were randomly divided into two groups：TST group （n=48）and PPH group （n =52）according to the treatment methods from May 2005 to May 2014,the curative effect of the two groups was compared including the patients＆#39;intraoperative and postoperative general status .[Results]There were no statistical significance in the treatment outcome between two groups （P 〉 0.05 ）. Compared with PPH group ,TST group underwent shorter duration both in surgical procedure and hospital stay,less intraoperative blood loss,less urinary retention,edema,Anal pendant expansion,postoperative bleeding,and postoperative pain（P 〈0.05）.There was no statistically significant difference about patients＇sat-isfaction and anastomotic stricture complications（P 〉0.05 ）.[Conclusion]The treatment of TST to mixed hemorrhoid is simple,and less invasive,patients recovered from operation faster with less complications.
出处
《医学临床研究》
CAS
2015年第8期1579-1581,共3页
Journal of Clinical Research
