改良TST术+缝扎术治疗Ⅲ、Ⅳ度脱垂性痔病的效果评价  

Evaluation of the Effect of Modified TST+Suture Ligation in the Treatment of Grade Ⅲ and Grade Ⅳ Prolapsed Hemorrhoids

作　　者：王晓川 WANG Xiaochuan(Department of General Surgery,Honghuagang District People's Hospital,Zunyi,Guizhou Province,563000 China)

机构地区：[1]遵义市红花岗区人民医院普通外科,贵州遵义563000

出　　处：《系统医学》2021年第19期108-110,共3页Systems Medicine

摘　　要：目的评价分析Ⅲ、Ⅳ度脱垂性痔病患者应用改良TST术+缝扎术治疗的临床疗效。方法选择500例2017年6月-2020年6月时段内该院收治的Ⅲ、Ⅳ度脱垂性痔病患者作为研究对象,按照随机数表法予以分组。比较改良TST术+缝扎术治疗(研究组,n=250)与改良TST术治疗(对照组,n=250)的临床疗效。结果研究组术中出血量评分为(1.51±0.48)分,低于对照组(2.63±0.51)分,创面愈合时间为(17.12±2.25)d,少于对照组(22.57±3.59)d,差异有统计学意义(t=25.285、20.338,P<0.05);相较对照组,研究组术后出血(0.06±0.21)分、肛缘水肿(0.23±0.41)分、疼痛(1.31±0.84)分并发症评分更低,差异有统计学意义(t=18.178、7.633、18.898,P<0.05)。结论改良TST术+缝扎术治疗方案用于Ⅲ、Ⅳ度脱垂性痔病治疗中的疗效确切。Objective To evaluate and analyze the clinical efficacy of modified TST plus suture ligation in patients with grade Ⅲ and Ⅳ prolapsed hemorrhoids.Methods 500 patients with grade Ⅲ and Ⅳ prolapsed hemorrhoids admitted to the hospital from June 2017 to June 2020 were selected as the research subjects,and they were grouped according to the random number table method.The clinical efficacy of modified TST+suture ligation treatment(study group,n=250)and modified TST treatment(control group,n=250)were compared.Results The score of intraoperative blood loss in the study group(1.51±0.48)points was less than that of the control group(2.63±0.51)points,the wound healing time(17.12±2.25)d was shorter than that of the control group(22.57±3.59)d,the difference was statistically significant(t=25.285,20.338,P<0.05).Compared with the control group,the study group's postoperative bleeding(0.06±0.21)points,anal edema(0.23±0.41)points,pain(1.31±0.84)points were lower,the difference was statistically significant(t=18.178,7.633,18.898,P<0.05).Conclusion The modified TST surgery+suture ligation treatment program is effective in the treatment of grade Ⅲ and Ⅳ prolapsed hemorrhoids.

关 键 词：脱垂性痔 改良TST术 缝扎术 临床疗效 

分 类 号：R605[医药卫生—外科学]