选择性痔上黏膜切除吻合术治疗混合痔的疗效分析

Curative Effect Analysis of TST in the Treatment of Mixed Hemorrhoids

为探讨选择性痔上黏膜切除吻合术治疗混合痔的临床疗效,选择2016年2月至2017年7月成都肛肠专科医院收治的87例混合痔患者进行研究,随机分为2组,一组行吻合器痔上黏膜环切吻合术治疗(42例,PPH组),另一组行选择性痔上黏膜切除吻合术治疗(45例,TST组)。对比2组临床疗效。结果显示,2组治愈率均为100%。2组手术时间比较差异无统计学意义,P>0.05。但是在术中出血量、术后12 h出血量、术后12 h及24 h疼痛评分、术后3个月肛门失禁发生率方面,TST组均明显优于PPH组,P<0.05。结果表明,与PPH相比,TST术中及术后出血减少,术后疼痛更轻微,肛门功能更好,优势明显。

This study was to investigate the clinical effect of TST（tissue selecting technique） in the treatment of mixed hemorrhoids, selected the 87 patients with mixed hemorrhoids who admitted in author＇s Chengdu Special Hospital for Coloproctolgical Diseases from Feb. 2016 to July 2017 yr. and divided randomly into PPH group（total 42 patients received PPH procedure） and TST group （totaled 45 patients re ceived TST procedure） ,then compared both group＇s clinical effect.As results,both group＇s curative rate was all 100G;in operative time there was no statistical difference between the two groups（ P 〈0.05）;but,in intraoperative and at 12 h after surgery bleeding volume,in the pain score at 12 and 24 h after surgery,and the incidence of anal incontinence at 3 months after surgery,TST group was all superior to PPH group（ P 〈0.05）.Results show that in intra- and post-operative bleeding volume,in postoperative pain and in anal function,TST group is significantly superior to PPH group.