摘要
目的:比较开环式微创痔吻合术(TST术)与Milligan-Morgan术(M-M术)治疗痔病的临床疗效及并发症有无差异。方法:将86名Ⅲ、Ⅳ度痔患者,随机分为实验组(TST术组)和对照组(M-M术组),比较两组治疗的效果及术后并发症。结果:实验组在脱垂、出血症状的改善及远期复发率与对照组比较差异无统计学意义(P>0.05),而在手术时间、住院时间、术后肛门疼痛、水肿、小便情况方面与对照组比较差异有统计学意义(P<0.05)。结论:TST手术在疗效上与MMH手术相似,但具有手术时间短,住院时间短,术后肛门疼痛、水肿、尿潴留程度轻的优点。
Objective To evaluate the efficacy and safety of Milligan-Morgan hemorrhoidectomy and Tissue Selecting Therapy stapler hemorrhoidectomy(TST).Methods 86 patients with prolapsed hemorrhoids Ⅲ,Ⅳ degree were randomly divided into TST group and Milligan-morgan group.41patients underwent TST,45patients underwent classic Milligan-morgan hemorrhoidectomy.Postoperative data was collected including the operation time,the degree of pain,urinary retention,edema,postoperative stay,hospitalization costs,recurrence rate, postoperative complications.Results In 2 group,The operation time were(31.48±6.26)min and(39.53±10.04)min respectively(P<0.01).The average score of postoperative pain was(0.09±0.30)and(0.53±0.89) respectively(P<0.01). The average score of urinary retention was(0.29 ±0.64) and(0.78±0.99)respectively(P<0.05).The average score of postoperative edema was(0.66±1.02) and(1.62±1.71)respectively(P<0.05).The postoperative stay was(6.44±2.53) days and(8.27±1.72)days respectively(P<0.01).The recurrence rate was12.20% and 15.56% respectively(P> 0.05).The hospitalization costs was(6154.52±1374.82)yuan and(4422.29±1349.51)yuan.Conclusion There is no statistical significance in efficacy,recurrence rate and complications between 2 groups.The operative time, length of hospitalization post operation pain,urinary retention and postoperative edema of the TST group were reduced obviously compared with those of the Milligan-morgan group.But TST group was more expensive than the Milligan-morgan group.These data demonstrates that TST is a safe,effective and rapid method for treatment of prolapsed hemorrhoids.
出处
《湖南师范大学学报（医学版）》
2012年第4期36-39,共4页
Journal of Hunan Normal University(Medical Sciences)
基金
深圳市科技计划项目(201002031)
