双腔气囊导尿管在混合痔TST联合外剥内扎术中的应用效果  

The Efficacy of Dual Chamber Pneumatic Catheter Applied in the Combined Surgery(TST plus External Dissection &Internal Ligation)for Mixed Hemorrhoids

作　　者：张孟林 李洁 陈应华 谭亚南 ZHANG Meng-lin;LI Jie;CHEN Ying-hua;TAN Ya-nan(Coloproctological Dept.,Yibin City s Hospital of TCM,Yinbin,Sichuan 644000)

机构地区：[1]四川省宜宾市中医医院肛肠科,四川宜宾644000

出　　处：《中国肛肠病杂志》2022年第3期14-16,共3页Chinese Journal of Coloproctology

基　　金：宜宾市卫生和计划生育委员会科研课题(2019年)。

摘　　要：目的:探讨双腔气囊导尿管在混合痔选择性痔上黏膜环切吻合术(TST)联合外剥内扎术中的应用效果。方法:将150例混合痔手术患者随机分为观察组和对照组,各75例。对照组采用TST联合外剥内扎术治疗,观察组在对照组治疗基础上术中使用双腔气囊导尿管纳肛,对比2组疗效、并发症和肛门功能情况。结果:观察组总有效率高于对照组(P <0.05);肛门疼痛、出血及水肿的发生率低于对照组(P <0.05);肛门部分失禁与完全失禁发生率低于对照组(P <0.05)。结论:混合痔TST联合外剥内扎治疗中采用双腔气囊导尿管纳肛,可提高临床疗效,减少术后并发症的发生,对肛门功能损伤小,值得推广应用。Objective To investigate the efficacy of dual chamber pneumatic catheter(DCPC)applied in the combined surgery(TST plus external dissection &internal ligation)for mixed hemorrhoids.Methods Randomly divided 150patients with mixed hemorrhoids into control group(75cases,received TST and external dissection &internal ligation)and observation group(75cases,based on the surgery used in control group,during surgery,DCPC was used in to rectum),and compared both groups’ effect,and status on complication and anal function.Results In total effective rate;in the incidence of anal pain,bleeding and edema;as well as in the incidence of anal partial incontinence or complete incontinence,observation group was respectively higher;lower;as well as lower than control group(all,P <0.05).Conclusion During the combined surgery(TST plus external dissection &internal ligation)for mixed hemorrhoids adopting DCPC into rectum can enhance clinical effect,reduce postoperative complication,and with smaller trauma on anal function,thus,is worth to be popularized to use.

关 键 词：混合痔 外剥内扎术 TST 双腔气囊尿管 效果 

分 类 号：R657.18[医药卫生—外科学]