TST与外剥内扎术治疗混合痔的临床疗效观察

The observation of the clinical curative effect of TST and Milligan Morgan hemorrhoidectomy in the treatment of mixed hemorrhoids

目的探讨选择性痔上黏膜吻合术(TST)治疗混合痔的临床疗效。方法将120例混合痔患者随机分为两组,其中治疗组60例,采用TST治疗;对照组60例,采用外剥内扎术治疗。将两组患者术后总疗效、术后肛门疼痛,术后并发症(术后肛缘水肿、术后尿潴留、肛门坠胀)、住院时间等指标进行对比研究,综合评价疗效。结果两组患者术后肛门疼痛、术后并发症、住院时间等差异有统计学意义(P<0.05),总有效率差异无统计学意义(P>0.05)。结论 TST治疗混合痔疗效确切,在术后疼痛程度,术后并发症发生率、住院时间等方面明显优于外剥内扎术。

Objective To observe the clinical curative effect of selective superior hemorrhoidal mucosa anastomosis through the clinical operation.Methods One hundred and twenty cases of patients with mixed hemorrhoid were randomly divided into two groups.The treatment group has 60 cases of patients,using selective superior hemorrhoidal mucosa anastomosis（TST）treatment,and the control group 60 cases of patients,with Milligan Morgan operation.The total curative effect,postoperative anal pain,postoperative complications（postoperative perianal edema and postoperative urinary retention,anal bulge）,the duration of hospitalization and the curative effect of comprehensive evaluation between the two groups were compared.Results There were statistically significant between the two groups in the postoperative anal pain,postoperative complications and hospitalization time（P〈0.05）,but no statistically significant differences in the total effective with（P〉0.05）.Conclusion The TST and Milligan Morgan hemorrhoidectomy has equivalent efficacy.TST was obviously superior to Milligan Morgan hemorrhoidectomy in the postoperative pain,postoperative complication rate and hospitalization time.