开环式微创痔吻合术治疗脱垂性痔病对比研究  

Retrospective Studies of Treatment of Prolapsed Hemorrhoids with Tissue-Selecting Therapy Stapler

作　　者：叶妮[1] 王业皇[2] 杨旭[1] 王轶[1] 赵璟[1] 王元钊[1] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院 [2]南京市中医院

出　　处：《辽宁中医药大学学报》2014年第11期156-158,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:比较开环式微创痔吻合术(TST)与吻合器痔上黏膜环切术(PPH)治疗脱垂性痔病的临床疗效差异,回顾性的总结分析TST在治疗该病中的优势。方法:选择Ⅲ、Ⅳ期痔病患者,分为治疗组(开环式微创痔吻合术,TST组)和对照组(吻合器痔上黏膜环切术,PPH组),对两组患者出现的术后疼痛、肛门坠胀感进行评分,比较并分析各组治疗效果。结果:两组患者术后脱垂症状积分均有明显改善(P<0.05),但组间比较差异无统计学意义(P>0.05);对照组患者术后肛门坠胀明显加重(P<0.05),而治疗组无明显差异,组间比较差异有统计学意义(P<0.05);治疗组在术后疼痛方面明显优于对照组(P<0.05),但两组总体疗效差异无统计学意义(P>0.05)。结论:相比于PPH,TST术治疗脱垂性痔病在减轻术后疼痛、降低肛门坠胀积分等方面有明显优势。Objective：To compare the surgical procedures of tissue-selecting therapy stapler（TST）and procedure for prolapse and hemorrhoids（PPH）in treatment of prolapsed hemorrhoids and to summarize and analyze retrospectively the advantage of TST.Method：Patients withⅢ andⅣ degrees hemorrhoids were divided into observation group and control group.Control group received PPH and observation group received TST.We investigated and compared the postoperative pain and anal bulge.Result：There was no difference in the postoperative prolapse between two groups（P0.05）.The TST group had significant differences compared with PPH group on the postoperative pain and anal bulge（P0.05）.Conclusion：Compared to PPH,TST in the treatment of prolapsed hemorrhoids can reduce the incidence of postoperative pain and anal bulge.

关 键 词：TST PPH 肛门疼痛 肛门坠胀 

分 类 号：R657.18[医药卫生—外科学] R657.19[医药卫生—临床医学]