改良TST术与Milligan-Morgan术治疗混合痔的临床对比观察

目的：探讨改良TST术治疗混合痔的临床疗效。方法选择40例Ⅱ～Ⅳ度混合痔患者，随机均分为2组（n=20），试验组采用改良TST术治疗，对照组采用Milligan-Morgan术治疗，对比观察2组患者的疗效、手术时间、术中出血量、住院时间、恢复工作时间、术后并发症（术后出血、术后肛门水肿、疼痛、肛门坠胀）、第1次排便情况及总体满意度。结果2组在疗效、肛门坠胀方面比较差异无统计学意义，而在手术时间、住院时间、恢复工作时间、总体满意度及术中出血量、术后出血、肛门水肿、疼痛、排便情况方面，试验组显著优于对照组，差异有统计学意义（P＜0.05）。结论改良TST术治疗混合痔疗效确切，术后并发症发生率低，疗程短，患者满意度高，是一种具有较高临床应用和推广价值的手术。

Objective Investigate the clinical therapeutic effect of the improved TST in the treatment of mixed hemorrhoids. Methods Forty cases withⅡ-Ⅳdegree mixed hemorrhoids were divided into two groups randomly（n=20）.Each group has twenty cases.Cases in trial group received the treatment of improved TST,and cases in controlled group received the treatment of Milligan-Morgan haemorrhoidectomy.A comparison was done between the two groups in terms of the following items：the curative rate, operation time,the volume of blood loss in operation,postoperative hospitalization time, rehabilitation time, and postoperative complications such as postoperative bleeding,anal bulge,the postoperative anal pain,tenesmus sensation of anus,stool after the operation,patient’s satisfactory degree Results There was no signiifcant difference between the two groups in the curative rate,and tenesmus sensation of anus.The trial group surpass the controlled group in the aspects of operation time,postoperative hospitalization time,rehabilitation time,patient’ satisfactory degree and the volume blood of loss in operation,postoperative bleeding、anal bulge,the postoperative anal pain、stool after the operation.There was signiifcant difference（P〈0.05）. Conclusion For the treatment of the mixed hemorrhoids,the improved TST showed good curative effect,few postoperative complications,short postoperative stay,high patient’s satisfactory degree,which is worthy in clinical application.