TST联合外剥内扎术与单纯外剥内扎术治疗中重度混合痔的疗效观察  

Clinical observation of external dissection and internal ligation combined with or without tissue-selecting therapy for severe mixed hemorrhoids

作　　者：宋杰[1] 潘毓华[1] 畅立强[1] Song Jie;Pan Yuhua;Chang Liqiang(Anorectal section, Traditional Chinese Medicine Hospital of Shanxi Province, Taiyuan 030012, China)

机构地区：[1]山西省中医院肛肠科,030012

出　　处：《中华结直肠疾病电子杂志》2016年第4期337-339,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的观察选择性痔上粘膜切除术(tissue-selecting therapy,TST)联合外剥内扎术治疗混合痔的临床疗效。方法选取山西省中医院2014年1月至2015年12月间收治的中重度混合痔患者60例,随机分为治疗组(30例)和对照组(30例),治疗组采用选择性痔上粘膜切除术(TST)联合外剥内扎术,对照组采用传统的单纯外剥内扎术。观察两种术式治疗混合痔的效果,比较两种术式术后并发症等情况。结果治疗组与对照组疗效差异无统计学意义,在术后伤口疼痛(χ2=22.50,P<0.01)、伤口水肿(χ2=10.76,P=0.001)、尿潴留(χ2=4.32,P=0.038)及住院时间(t=73.50,P<0.01)方面差异有统计学意义,在术后伤口出血方面差异无统计学意义(χ2=0.80,P>0.05)。结论两组治疗效果相似,但治疗组在术后伤口疼痛、伤口水肿、尿潴留及住院时间方面有明显优势。Objective To observe the clinical efficacy of tissue-selecting therapy (TST) intreating mixed hemorrhoids. Methods 60 cases of mixed hemorrhoids were randomly divided intotreatment group and control group, 30 cases for each. The former received TST, the latter received externaldissection and internal ligation. Both groups were compared for clinical efficacy. Results There was nosignificant difference between two groups in treatment effect (P > 0.05) and postoperative bleeding (χ2=0.80,P > 0.05). Treatment group was superior to control group in the aspect of postoperative pain (χ2=22.5,P < 0.01), swelling (χ2=10.76, P=0.001),retention of urine (χ2=4.32, P=0.038) and hospital stay(t=73.50, P < 0.01). Conclusions It is concluded that TST is similar to external dissection and internalligation in curative effect of treating mixed hemorrhoids, but has significant advantages in postoperativepain,swelling,retention of urine and hospital stay.

关 键 词：痔 外科手术 选择性痔上粘膜切除术 外剥内扎术 

分 类 号：R657.18[医药卫生—外科学]