TST与PPH治疗Ⅲ～Ⅳ度内痔的临床疗效对比分析  

Comparison of efficacy on Ⅲ～Ⅳ degree of hemorrhoids between tissue-selecting therapy and procedure for prolapse and hemorrhoids

作　　者：邓业巍[1] 许召杰[1] 张胜威[1] Deng Yewei;Xu Zhaojie;Zhang Shengwei(Department of Colorectal,Zhengzhou People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院肛肠外科,450000

出　　处：《中华结直肠疾病电子杂志》2019年第2期176-178,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的比较选择性痔上黏膜吻合术(TST)与痔上黏膜环切术(PPH)治疗Ⅲ～Ⅳ度内痔的疗效。方法回顾性分析郑州人民医院肛肠外科2017年5月至2017年7月间因Ⅲ～Ⅳ度内痔接受TST和PPH共60例住院患者的临床资料。结果 TST较PPH手术,两组疗效相当,均缓解了脱出、便血症状,但差异无统计学意义(P> 0.05),但两组在术后并发症上,肛门坠胀感差异有统计学意义(P <0.05),而吻合口狭窄差异无统计学意义(P> 0.05)。结论 TST是治疗非环状Ⅲ～Ⅳ度内痔的一种个体化、微创化、精准化治疗的方法。Objective To compare the effect of tissue-selecting therapy (TST) and procedure for prolapse and hemorrhoids (PPH) in the treatment of Ⅲ~Ⅳ degree of hemorrhoids. Methods The clinical data of 60 cases of TST and PPH in the same period between May 2017 and July 2017 in the Department of Colorectal, People′s hospital of Zhengzhou were analyzed retrospectively. Results TST and PPH both relieved prolapse and bleeding significantly, there were no significant difference (P > 0.05), but anal bulge and postoperative complications were statistically significant (P < 0.05), anastomotic stenosis were no significant difference (P > 0.05). Conclusion TST is individualized, minimally invasive, precise feasible and effective treatment for Ⅲ~Ⅳ degree of hemorrhoids.

关 键 词：痔 TST PPH Ⅲ~Ⅳ度内痔 疗效对比分析 

分 类 号：R657.18[医药卫生—外科学]