比较混合痔TST术与MM手术后肛肠动力学改变及临床意义

Comparing mixed hemorrhoid TST and MM after procedure for anorectal dynamics change and clinical significance

目的:通过比较TST术与MM术治疗混合痔时对肛门动力学改变,了解两种术式对肛门功能的影响,为更好的合理选择手术方式提供一定的理论依据。方法:对符合纳入指标的136例混合痔患者随机分为观察组与对照组,观察组选择TST手术,对照组选择MM手术,分别检测TST术和MM术,在准备施以手术前1天以及完成手术后1个月,针对患者肛管最大收缩压、肛管静息压以及直肠最大感觉阈值等方面比较结果展开回顾性分析。结果:两组患者在治疗后,肛肠动力指标均获得一定程度的改善;观察组同手术前以及正常值比较,在直肠最大感觉阈值、肛管最大收缩压以及直肠顺应性几方面未呈现出显著性差异(P>0.05);在肛管静息压水平方面,同对照组比较,呈现出显著降低(P<0.05);同手术前比较,在直肠最大感觉阈值、直肠感觉阈以及直肠顺应性几方面,对照组呈现出较为显著的降低(P<0.05);同正常值进行比较,对照组直肠最大感觉阈值呈现出显著差异(P<0.05)。结论:TST术组在术后肛肠动力学的数据证明优于MM组。临床通过施以TST手术治疗,针对患者的肛门直肠功能可以进行充分保护,对于混合痔患者加以手术治疗后,可以对最终确切疗效做出充分保证。

Objective By comparing the TST technique and the treatment of MM mixed hemorrhoid when change the dynamics of the anus, to better provide certain theoretical basis to select the right surgical method. Methods Meet eligibility index of 136 patients with mixed hemorrhoid were randomly divided into observation group and control group, the observation group choose TST surgery, surgery group MM, TST was detected and MM, preparing to 1 day before surgery, and complete a month after the surgery, for patients with anal canal maximum systolic blood pressure, anal canal resting pressure, rectal maximum sensory threshold aspects comparison results were retrospectively analyzed.Results After treatment, the anorectal dynamic indexes were improved to a certain extent. The observation group showed no significant difference between the maximum sensory threshold of the rectum, the maximal systolic pressure of the anal canal and the rectal compliance of the patients before and after the operation(P > 0.05). Compared with the control group, there was a significant decrease in the static pressure level of the anal canal(P < 0.05). Compared with pre-operation, the maximum sensory threshold, rectal sensory threshold and rectal compliance were significantly reduced in the control group(P < 0.05). Compared with normal values, the maximum sensory threshold of the rectal of the control group showed significant difference(P < 0.05).Conclusion The data of TST group in the postoperative anorectics proved superior to the MM group. Through to TST surgery, clinical patients with anorectal function can be fully protected, for mixed hemorrhoid patients after surgical treatment, can make full guarantee on final exact curative effect.