摘要
目的:通过多角度分析选择性痔上黏膜切除术(TST)和外剥内扎术(MMH)治疗重度混合痔的疗效和安全性,从而客观评价两者的优缺点。方法:检索从建库至2022年7月1日四大中文数据库知网、万方、中国生物医学网、维普和两大英文数据库Pubmed、Web of science关于TST术与MMH术治疗重度混合痔的随机对照临床试验文献,总结数据后应用RevMan5.4软件进行Meta分析。结果:两种术式在总有效率、术后肛门坠胀方面差异均无统计学意义(P>0.05),在术中出血量、手术时间、住院时间、恢复工作时间、术后疼痛、出血、水肿、尿潴留和肛门狭窄方面,TST组优于MMH组(P<0.05)。结论:相比MMH术,TST术治疗重度混合痔可加快病情恢复,减少术中风险和术后并发症的发生。
Objective From multi-angies to analyse the safety and effect of severe mixed hemorrhoids treated with tissue-selecting therapy stapler(TST)and with Milligan-Morgan hemorrhoidectomy(MMH),so as to evaluate both's advantages and defects objectively.Methods Time-limits set from Est.to 2022-07-01,including CNKI,Wanfang,CBM,and VIP database,as well as pubmed,and Web of science about the randomized controlled clinical trial literatures in the treatment of severe mixed hemorrhoids with TST and MMH;after suming data by RevMan 5.4 software to take Meta analysis.Results In total effective rate,and postoperative bear-downing&swell of anus there was no statistical difference between the two proce-dures(P>0.05),but in intraoperative bleeding volume,operating time,hospitalization stay,the time for work returned,as well as postoperative pain,bleeding,edme,urosthesis and anal stenosis TST group was superior to MMH group(P<0.05).Conclusion Compared to MMH,TST more fasterly accelerate conditions recovered,reduce risks from procedure and postoperative complication emerging.
作者
王一琼
梁磊
洪关婷
康蕾
莘莉琼
杨勇军
WANG Yi-qiong;LIANG Lei;HONG Guan-ting;KANG Lei;SHEN Li-qiong;YANG Yong-jun(Coloproctological Dept.,the Affiliated Hospital'of Chuanbei Med.College,Nanchong,Sichuan 637000)
出处
《中国肛肠病杂志》
2023年第6期9-11,共3页
Chinese Journal of Coloproctology
