摘要
目的研究开环式微创肛肠吻合器痔切闭术治疗脱垂性痔病的临床疗效。方法回顾分析2016年5月~2017年10月在我院诊治的130例脱垂性痔病患者,随机分为对照组和观察组,每组65例。对照组采用吻合器痔上黏膜环切术(PPH)治疗,观察组采用开环式微创肛肠吻合器痔切闭术(TST)治疗,对比两组临床治疗疗效、手术时间、术中出血、住院时间、术后疼痛评分以及并发症发生率。结果观察组临床治疗有效率与对照组相比,差异无统计学意义(P>0.05)。观察组手术时间、术后出血率、住院时间及术后疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为12.30%,低于对照组的38.46%,差异有统计学意义(P<0.05)。结论采用TST术治疗脱垂性痔病与PPH术治疗疗效相同,但TST术手术时间短,术后出血发生率低、疼痛轻,且肛门水肿、排尿困难等并发症发生率低,值得临床推广和应用。
Objective To study the clinical effect of open loop minimally invasive anorectal stapler and hemorrhoidectomy in the treatment of prolapse hemorrhoids.Methods 130 patients with prolapse hemorrhoids who were treated in our hospital from May 2016 to October 2017 were randomly divided into control group and observation group with 65 cases in each group.The control group was treated with prolapse and hemorrhoidectomy(PPH),the observation group was treated with open loop minimally invasive anorectal stapling and hemorrhoidectomy(TST),compared with the two groups of clinical treatment,operation time,intraoperative bleeding,hospitalization time,postoperative pain score and the incidence of complications.Results The clinical effective rate of the observation group was not significantly different from that of the control group(P>0.05).The operative time,postoperative bleeding rate,hospitalization time and postoperative pain score of the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 12.30%,lower than that in the control group 38.46%,and the difference was statistically significant(P<0.05).Conclusion The treatment of prolapsed hemorrhoids with TST is the same as that of PPH,but the operation time of TST is short,the incidence of postoperative bleeding is low,the pain is light,and the incidence of complications such as anus edema and dysuria is low.It is worthy of clinical popularization and application.
作者
陶玉林
TAO Yu-lin(Department of Surgery,Zhongzang Hospital,Jiuzhaigou 623400,Sichuan,China)
出处
《医学信息》
2018年第8期107-108,111,共3页
Journal of Medical Information
关键词
开环式
微创
肛肠吻合器痔切闭术
脱垂性痔病
Open loop
Minimally invasive
Anorectal stapler and hemorrhoidectomy
Prolapse hemorrhoids
