改良TST治疗痔病的临床观察

Modified TST for Hemorrhoids：Clinical Observation

为了探讨吻合器选择性痔切除术（改良TST）治疗痔病的临床疗效及手术操作技巧，将2014年3～8月江苏省常熟市中医院肛肠科收治的120例痔病患者，随机分为治疗组和对照组，每组各60例。治疗组采用改良TST治疗，对照组采用PPH治疗。对比观察2组患者术后首次排便情况、并发症、住院时间、术后1个月的临床治愈率、术后2年内复发率情况。结果显示，2组患者术后1个月治愈率，治疗组为93．3%（56／60），对照组为90．0％（54／60）。差异无统计学意义（P〉0．05）。但2组患者术后首次排便通畅度、排便疼痛程度、出血、肛门坠胀、住院时间、术后2年内复发率情况，治疗组均明显优于对照组，差异有统计学意义（P〈0．01或P〈0．05）。而在住院费用方面差异无统计学意义（P〉0．05）。结果表明，与PPH相比，改良TST操作简单、疗效确切、术后并发症少，值得临床推广应用。

t This study was to explore the operative manipulation skill and clinical effect of stapler tissue-selecting therapy （modified TST） for hemorrhoids, randomly divided 120 cases of hemorrhoids who admitted in authors＂ department from March 2014 to August 2014 into treatment group and control one,60 cases for each;gave the modified TST to the former,meanwhile PPH to the latter;then compared both groups＂ fol- lowing indexes such as clinical curative rate, postoperative bowel movement at first time, complication and hospitalization time at 1 month after surgery,as well as recurrence rate status 2 years after surgery.As re- sults,in curative rate at 1 month after surgery there was no statistical difference（56/60,93.3% vs 54/60, 90.0%, P 〉0.05） between both groups,rest above-mentioned indexes the former was all superior to the latter,there was statistical difference（ P 〈0.01 or P 〈0.05）;what＇s more,in hospitalization cost there was no statistical difference（ P 〉0.05）.Results show that compared with PPH the modified TST has such merits as simple manipulation, cartain effect, and less complication, thus it is worthy of popularization and ical use.