作　　者： ; ;

机构地区： 南方医科大学

出　　处： 《中国现代医生》 2018年第18期42-45,共4页

摘　　要： 目的观察双TST(Tissue-selecting Therapystapler)术治疗环状混合痔的治疗效果。方法选取2015年2月~2016年6月我院胃肠外科收治的60例环状混合痔患者为研究对象,按住院号单双分为实验组(n=30,采取双TST术式)和对照组[n=30,采取PPH(Procedure for Prolapsing Hemorrhoids)术式]。两组在治愈率、切下组织的量、手术及住院时间、术后切口疼痛、水肿、出血、吻合口狭窄以及复发、肛门坠胀率等方面进行比较。结果两组在手术、住院时间进行比较,差异无统计学意义(P>0.05),在切下组织的量、水肿、疼痛、出血及吻合口狭窄、术后复发肛门坠胀率方面实验组明显优于对照组,差异具有统计学意义(P<0.05)。结论相对于PPH,双TST术在治疗环状混合痔中具有更好的疗效。 Objective To observe the effect of double TST（Tissue-selecting Therapystapler） on the treatment of annular mixed hemorrhoids. Methods 60 patients with annular mixed hemorrhoids who were admitted in the Department of Gastrointestinal Surgery of our hospital from February 2015 to June 2016 were selected as study subjects. The patients were divided into experimental group（n=30） treated with double TST and control group（n=30） treated with Procedure for Prolapsing Hemorrhoids（PPH）, according to the odd and even numbers of their hospital admission number. The two groups were compared in terms of cure rate, amount of tissue removed, surgery time and hospital stay, postoperative incision pain, edema, hemorrhage, anastomotic stenosis and recurrence, and rate of anus bulge. Results There was no significant difference between the two groups in the time of surgery and hospital stay（P〉0.05）. The amount of tissue excision, edema, pain, hemorrhage, anastomotic stenosis, and postoperative recurrent anal swell rate in the experimental group were significantly better than those of the control group, and the difference was statistically significant （P〈0.05）. Conclusion Compared with PPH, double TST has better efficacy in the treatment of annular mixed hemorrhoids.

关 键 词： 双 术 环状混合痔

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