重度内痔应用PPH和TST术的临床疗效对比分析  

Comparative Analysis of Clinical Curative Effect of PPH and TST Surgery in Treatment of Severe Internal Hemorrhoids

作　　者：叶江文 YE Jiaug-weu(Anorectal Department,Xiamen Fifth Hospital,Xiamen,Fujian Province,361101 China)

机构地区：[1]厦门市第五医院肛肠科,福建厦门361101

出　　处：《中外医疗》2018年第32期7-9,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析PPH和TST在重度内痔患者中应用的临床疗效。方法方便选取2016年6月—2017年12月在该院行手术的重度内痔患者268例作为研究对象,随机分为PPH组和TST组,每组134例患者,两组患者围手术期的处理均一致,术中PPH组采用PPH的手术方式,TST组采用TST术。术后观察手术时间、术后住院时间,统计两组患者在术后并发肛门狭窄、排便异常、出血等情况,进行随访3个月,观察患者术后复发的情况。结果 TST组手术时间(24.97±3.05)min低于PPH组患者的(25.42±3.21)min,但差异无统计学意义(t=1.176,P>0.05);TST组患者术后住院时间平均(7.28±2.13)d,明显较PPH组患者(8.42±3.21)d短,差异有统计学意义(t=3.426,P<0.05);TST组患者并发肛门狭窄、排便异常、出血、复发等情况的发生率为15.67%,明显小于PPH组患者49.25%,差异有统计学意义(χ~2=34.46,P<0.05)。结论 TST术与PPH术相比较,具有术后住院时间短,恢复快,术后并发症少,术后复发率低等优点,临床应用价值高,值得推广使用。Objective To compare and analyze the clinical curative effect of PPH and TST surgery in treatment of severe internal hemorrhoids. Methods 268 cases of patients with severe internal hemorrhoids, for surgery in our hospital from June 2016 to December 2017 were convenient selected and randomly divided into two groups with 134 cases in each, including the PPH group and TST group, the treatment of the two groups during the perioperative period was consistent, and the PPH group used the PPH surgery, and the TST group used the TST surgery, and the operation time, postoperative length of stay were observed, and the postoperative anal stenosis and defecation abnormality and hemorrhage of the two groups were counted, and the postoperative recurrence of patients was observed after three-month follow-up. Results The operation time in the TST group was lower than that in the PPH group[（24.97±3.05） min vs （25.42±3.21）min], and the difference was not statistically significant（t=1.176,P〉0.05）; and the average length of stay after surgery in the TST group was obviously shorter than that in the PPH group[（7.28±2.13）d vs （8.42±3.21）d], and the difference was statistically significant（t=3.426,P〈0.05）; and the incidence rate of anal stenosis and defecation abnormality, bleeding and recurrence in the TST group was obviously lower than that in the PPH group（15.67% vs 49.25%）, and the difference was statistically significant（χ^2=34.46,P〈0.05）. Conclusion The TST surgery has a shorter length of stay after surgery and faster recovery, fewer postoperative complications and lower postoperative recurrence rate, and higher clinical application value, and it is worth promotion and application.

关 键 词：重度内痔 吻合器痔上黏膜环切钉合术 选择性痔上黏膜切除术 临床疗效 

分 类 号：R675.1[医药卫生—外科学]