摘要
目的分析对比选择性痔上黏膜切除吻合术（tissue selecting therapy stapler,TST）与吻合器痔上黏膜环切术（procedure for prolapse and hemorrhoids,PPH）治疗Ⅲ～Ⅳ度痔的临床疗效。方法回顾性收集哈尔滨医科大学附属第一医院肛肠外科于2015年5月至2015年7月期间收治的80例Ⅲ～Ⅳ度痔患者的临床资料,根据术式分为TST组（n=40）和PPH组（n=40）,比较2组患者的临床疗效。结果 TST组的手术时间、术中出血量、住院时间、肛门坠胀感得分、3个时点的术后疼痛得分及肛门分泌物发生率均低于或短于PPH组（P〈0.05）,但2组的治愈率、尿潴留发生率、肛门狭窄发生率、顽固性疼痛发生率及满意度比较差异均无统计学意义（P〉0.05）。术后所有患者接受了为期3个月的门诊随访,均无直肠阴道瘘和大便失禁发生,随访期间所有患者均无痔复发。结论 TST与PPH治疗Ⅲ～Ⅳ度痔的总体临床疗效均较满意,但TST组患者出血少、手术时间短、术后恢复快、疼痛轻。
Objective To compare the clinical effect of tissue selecting therapy stapler（TST） and procedure for prolapse and hemorrhoids（PPH） in treatment of hemorrhoid in Ⅲ-Ⅳ degree. Methods Clinical data of 80 cases of hemorrhoid in Ⅲ-Ⅳ degree who treated in The First Affiliated Hospital of Harbin Medical University from May 2015 to July 2015 were retrospectively collected. All the 80 cases were divided into TST group（n=40） and PPH group（n=40） according to the surgical types. The comparison of the clinical effect of 2 groups was performed. Results The operative time, hospital stay, intraoperative blood loss, anal fall bilge feeling score, postoperative pain score at 3 time points, and the incidence of anal secretions of TST group were lower or shorter than those corresponding indexes of PPH group（P〈0.05）. But there was no significant difference in cure rate, the incidence of urinary retention, the incidence of anal stenosis, the incidence of intractable pain, and satisfaction situation between the 2 groups（P〈0.05）. All of the cases were followed up for 3 months, during the follow-up period, no one suffered from rectal vaginal fistula, fecal incontinence, and recurrence. Conclusion TST and PPH both have satisfactory effect in treatment of hemorrhoid in Ⅲ-Ⅳ degree, but TST has advantages of less blood loss, shorter operative time, rapid postoperative recovery, and less pain.
出处
《中国普外基础与临床杂志》
CAS
2016年第6期727-731,共5页
Chinese Journal of Bases and Clinics In General Surgery
