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开环式痔微创吻合术治疗脱垂性痔病术后排便通畅程度的临床研究 被引量:5

Clinical Research of Bowels Open Degree of Tissue-selecting Therapy Stapler in the Treatment of Prolapsed Hemorrhoids
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摘要 目的:观察开环式痔微创吻合术(TST)与痔上黏膜环切术(PPH)及外切内扎术治疗痔病术后患者排便通畅程度的差异。方法:将45例Ⅲ、Ⅳ期脱垂性痔病患者,随机分组为实验组(TST组)和对照组A(PPH组)、对照组B(外切内扎组),比较3组患者术后排便通畅程度的差异。结果:TST术对术后患者排便影响较小,对患者早期排便的可控性及后期排便的通畅性较PPH及外切内扎术有优势。结论:TST术对于以非环状脱垂为主要症状的痔病患者,特别是Ⅲ、Ⅳ度痔,是一种较为理想的手术治疗方法。 Objective:To observe the difference of bowels open degree among Tissue-selecting Therapy stapler(TST),procedure for prolapsed and hemorrhoids(PPH)and Milligan Morgan in the treatment of hemorrhoids.Methods:45 patients with Prolapsed hemorrhoids during Ⅲ and Ⅳ periods were randomly divided into the experimental group(TST group),the control group A(PPH group) and control group B(Milligan Morgan group).Compare the difference of bowels open degree after operation.Results:TST has little influence on the patients owning to the advantage between controllability of early defecation and smooth degree of late defecation compared with PPH and Milligan Morgan.Conclusion:TST is a more ideal surgical treatment method for hemorrhoids with non annular prolapsed as the main symptoms,especially for Ⅲ and Ⅳ degrees.
作者 王艳 王业皇
出处 《中医学报》 CAS 2012年第5期551-553,共3页 Acta Chinese Medicine
基金 江苏省中医药局课题(编号:HZ07034)
关键词 脱垂性痔病 开环式痔微创吻合术 痔上黏膜环切术 外切内扎术 排便通畅程度 prolapsed Hemorrhoids Tissue-selecting Therapy stapler(TST) procedure for prolapsed and hemorrhoids(PPH) Milligan Morgan bowels open degree
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  • 1中华医学会外科学分会结直肠肛门外科学组 中华中医药学会肛肠病专业委员会 中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南(草案).中华胃肠外科杂志,2006,9(5):461-463. 被引量:8
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