痔上黏膜环切术治疗脱垂性痔病的临床研究

Clinical Research of TST in the Treatment of Prolapsed Hemorrhoids

目的:探讨痔上黏膜环切术(TST)与传统外剥内扎手术方法治疗环状混合痔的临床效果。方法:选取2010年6月至2011年6月期间在我院住院治疗的环状混合痔患者80例。随机分为试验组(TST)和对照组(外剥内扎),观察两组患者术中、术后一般情况及并发症的发生情况。结果:试验组手术时间、术中出血量均明显少于对照组,两者比较,差异有统计学意义(P<0.05);试验组住院时间明显短于对照组,两者比较,差异有统计学意义(P<0.05);试验组术后疼痛指数、尿潴留、肛门肿胀及便血率明显少于对照组,两者比较,差异具有统计学意义(P<0.05)。结论:TST治疗脱垂性痔病较传统外剥内扎术式有显著优点。

Objective：To study the clinical effect of TST and traditional external dissection and internal ligation in the treatment of circularity mixed hemorrhoid.Methods：80 patients with circularity mixed hemorrhoid during the June 2010 to June 2011 in our hospital were randomly divided into treatment group（TST） and the control group（external dissection and internal ligation）.Observe the general situation and complications of the two groups during the intraoperative and afteroperation.Results：The operation time and perioperative bleeding of treatment group were significantly less than the control group.The length of stay in the treatment group is significantly shorter（P〈0.05）.The pain index,urinary retention,anus swelling and hematochezia birth rate in treatment group are less than that of the control group（P〈0.05）.The operation effective power and total cost in treatment group has no statistically significant compared the control group（P〈0.05）.Conclusion：TST treatment has a significant advantage and worth of clinic application compared the traditional method.