选择性痔上黏膜切吻合术(TST)在非环状痔病治疗中的临床性研究

Clinical Study of Tissue-selecting Therapy Stapler (TST) in the Treatment of Non-annular Hemorrhoids

目的观察和研究选择性痔上黏膜切除术(TST)在治疗非环状痔病中的临床效果。方法收集首都医科大学大兴教学医院2016年5月-2018年5月在肛肠科住院的非环状痔病患者286例,采用随机原则把患者分为TST组和PPH组,分别采用TST术和PPH术,比较观察和整理两组患者的住院天数、手术时间、术中出血量、治疗效果、术后并发症(肛门狭窄、尿潴留、术后疼痛、肛门功能、术后出血)指标数据,并对数据进行统计学分析。结果 TST组和PPH组住院天数、手术时间、术中出血量,手术效果无显著差异,而TST组的术后对肛门功能损伤小,术后尿储留发生率低,肛门疼痛感轻,无吻合口狭窄和术后出血率低。结论 TST手术在非环状痔病的治疗中疗效确切,并发症少,优势明显。

Objective To observe and study the clinical effects of Tissue-selecting Therapy stapler(TST)in the treatment of non-annular hemorrhoids.Methods 286 cases of non-annular hemorrhoids hospitalized in the anorectal department from May 2016 to May 2018 in the Daxing Teaching Hospital of Capital University of Medical Sciences were collected.The patients were divided into TST group and PPH group by random principle,and underwent TST and PPH surgery respectively.The hospitalization days,operation time,intraoperative blood loss,treatment effect and postoperative complications(anal stenosis,urinary retention,postoperative pain,anal function,postoperative bleeding)were compared between the two groups.And then the data was statistically analyzed.Results There were no significant differences in the hospitalization days,operation time,and intraoperative blood loss between the TST group and the PPH group.The TST group with little postoperative anal function damage,mild anal pain,lower occurrence rate of postoperative urine retention and postoperative bleeding rate,and there was no anastomic stenosis.Conclusion TST surgery is effective in the treatment of non-annular hemorrhoids,with fewer complications and obvious advantages.