选择性痔上黏膜切除钉合术治疗Ⅱ～Ⅲ度痔的临床疗效

Clinical effect of procedure for prolapse and hemorrhoids in the treatment of grade Ⅱ and Ⅲ hemorrhoids

目的探究选择性痔上黏膜切除钉合术(TST)治疗Ⅱ~Ⅲ度痔的临床疗效。方法选择2015年1月-2016年1月我院收治的Ⅱ~Ⅲ度痔患者88例,按照治疗方法分成观察组和对照组,治疗方法为患者自愿选择的治疗方式,对照组与观察组各44例。对照组采取传统外剥内扎的方式进行治疗,观察组采取选择性痔上黏膜切除钉合术进行治疗。对两组手术时间,住院时间,临床疗效,治疗费用,以及术后并发症发生情况进行比较分析。结果观察组的手术时间,住院时间均少于对照组,差异具有统计学意义(P<0.05);观察组的临床疗效优于对照组,差异具有统计学意义(P<0.05);观察组的术后并发症发生情况低于对照组,差异具有统计学意义(P<0.05)。观察组治疗费用低于对照组,差异具有统计学意义(P<0.05)。结论选择性痔上黏膜切除钉合术治疗Ⅱ~Ⅲ度痔的临床疗效显著,可有效促进患者康复,减少术后并发症发生情况,值得在临床上推广应用。

Objective To investigate the clinical effect of procedure for prolapse and hemorrhoids in the treatment of grade Ⅱ and Ⅲ hemorrhoids. Methods Total 88 patients with grade Ⅱ or Ⅲ hemorrhoids admitted in our hospital from January 2015 to January 2016 were collected and randomly divided into two groups, control group and observation group. Control group was treated by traditional external dissection and intemal fixation, while observation group was treated by procedure for prolapse and hemorrhoids. The operative time, hospitalization time, clinical curative effect, time of complete recovery and postoperative complications were compared between two groups. Results The operative time, hospitalization time and complete recovery time of observation group were shorter than those in the control group （P〈0.05）. The clinical effect of the observation group was better than that of the control group, the difference was statistically significant （P〈0.05）. The incidence of postoperative complications in the observation group was significantly lower than that in the control group （P〈0.05）. Conclusion The tissue-selecting therapy stapler has exact effect in the treatment of grade Ⅱ and Ⅲ hemorrhoids, which can effectively promote the rehabilitation of patients and reduce the incidence of postoperative complications. It is worthy to be popularized in clinic.