TST加消痔灵注射术治疗女性出口梗阻型便秘的临床研究  

Clinical study on Tissue-selecting therapy combined with Xiaozhiling injection in treating of female outlet obstructive constipation

作　　者：杨军[1,2] 

机构地区：[1]青岛大学,山东青岛266071 [2]山东大学齐鲁医院青岛院区中医肛肠科,山东青岛266000

出　　处：《中国现代普通外科进展》2015年第6期459-462,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:研究选择性痔上黏膜切除吻合术(TST)加消痔灵注射术治疗女性出口梗阻型便秘的临床疗效。方法:156例女性出口梗阻型便秘患者随机分为3组,A组52例行TST加消痔灵注射术,B组52例行痔上黏膜环切术(PPH),C组52例行经肛门吻合器直肠切除术(STARR)。比较3组手术情况、疗效、并发症。结果:3组手术时间、术中出血量、住院时间、术后近期(1月内)疗效的差异无统计学意义(P>0.05)。A组术后并发症发生率显著低于B、C两组,术后远期(1年)疗效明显优于B、C两组。结论:TST加消痔灵注射术治疗女性出口梗阻型便秘,操作简便,创伤小,疗效好,并发症少,复发率低。Objectice： To study clinical efficacy of TST combined with Xiaozhiling injection in the treatment of female outlet obstructive constipation. Methods： 156 cases of female outlet obstructive constipation patients were evenly randomized to three groups, 52 cases （group A） by TST combined with Xiaozhiling injection, 52 cases （group B） by PPH surgery, 52 cases （group C） by STARR surgery. Compare surgical situation, effcacy and complications of three groups. Results： The difference of operative time, blood loss, hospital stay, postoperative effect （within January） in three groups was not obvious, not statistically significant; Postoperative complication rate of group A was significantly lower than group B, C. Postoperative long-term effect （one year） of group A was significantly better than group B, C. Conclusionz TST combined with Xiaozhiling injection in the treatment of female outlet obstructive constipation is simple, less invasive, effective, fewer complications, recurrence rate.

关 键 词：便秘 出口梗阻型 外科治疗 选择性痔上黏膜切除吻合术 

分 类 号：R574.8[医药卫生—消化系统]