改良TST术式治疗环状嵌顿痔的临床研究  

Clinical study of the improved TST operation in the treatment of annular incarcerated hemorrhoids

作　　者：雷银福 陈丽娜[1] 袁可[1] 裴熹 沈庆波 余乐来 刘欢[1] 

机构地区：[1]乐山市人民医院,四川乐山614000

出　　处：《中医临床研究》2018年第27期129-131,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的 :探究改良选择性痔上黏膜切除术(TST)治疗环状嵌顿痔的效果。方法:选取我院2016年6月-2017年12月收治的60例环状嵌顿痔患者,随机分为试验组与对照组,每组30例。试验组行改良TST术,对照组行单纯外剥内扎术。比较两组患者的治疗效果及并发症情况。结果:试验组与对照组疗效差异无统计学意义,在手术时间、伤口疼痛、肛缘水肿、出血、尿潴留、术后肛门平整度及住院时间方面与对照组相比P<0.05,差异具有统计学意义,试验组优于对照组。结论:改良TST术式治疗环状嵌顿痔效果好,手术时间短,术后患者恢复时间更快,并发症较少,值得临床推广。Objective:To explore the effect of modified selective hemorrhoidectomy(TST)on annular incarcerated hemorrhoids.Methods:60 patients with annular incarceratedhemorrhoids from June 2016 to December 2017 were randomly divided into experimental group and control group with 30 cases in each group.The experimental group was treatedwith modified TST,while the control group was treated with Milligan-Morgan surgery.The therapeutic effect and complications were compared between the two groups.Results:there was no significant effect difference,but the operative time,wound pain,anal edema,bleeding,urine retention,postoperative anal smoothness and hospital time between the treatment group and the control group showed the significant difference(P<0.05),and experimental group was superior to control group.Conclusion:the modified TST procedure is effective in the treatment of annular incarcerated hemorrhoids.The operation time is shorter,the postoperative recovery time is faster,and the complications are more less,therefore it is worthy to expand its clinical use.

关 键 词：环状嵌顿痔 TST 外剥内扎术 

分 类 号：R266.5[医药卫生—中医外科学]