基层医院开展TST治疗直肠黏膜脱垂的临床疗效研究

Selective resection of superior hemorrhoidal mucosa stapling technique for rectal mucosal prolapse in grass-roots hospital

目的：探讨选择性痔上黏膜切除钉合术（TST）治疗直肠黏膜脱垂在基层医院的临床应用及价值。方法选择2013年3月~2015年2月于我院住院治疗的直肠黏膜脱垂患者40例，随机分为 TST 组（20例）及经肛门吻合器直肠黏膜切除术（PPH）组（20例），观察分析 TST 组及 PPH 组的临床疗效及术后情况。结果两组治疗有效率为100%；TST组手术用时及术中出血量明显比 PPH 组少（P 0.05）；两组均无肛旁感染及吻合口狭窄等术后并发症。结论 TST 治疗直肠黏膜脱垂的疗效与 PPH 相似，操作简单，适合于基层医院开展。

Objective To investigate the clinical value of selective resection of superior hemorrhoidal mu-cosa stapling technique （TST）for treatment of rectal mucosal prolapse in primary care hospital. Methods Forty patients with rectal mucosal prolapse cared at our hospital March 2013 ~February 2015 were recruited and randomly divided into a TST group （20 cases）and PPH group （20 cases treated with procedure for pro-lapse and hemorrhoids,abbreviated as PPH）.Observed and analyzed the clinical effects and post-operation condition for TST group and PPH group. Results The response rate was 100% for both two groups.Pa-tients of the TST group had less intra-operation duration and bleeding volume than those of PPH group （P 0.05 ）;no complications as perianal infection and anastomotic stenosis after operation occurred in two groups. Conclusion TST had similar therapeutic effectiveness as PPH in treatment of rectal mucosal pro-lapse similar,it is a kind of simple operation and suitable for primary care hospital.